Provider Demographics
NPI:1265656474
Name:ACERO, LEAH L (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:L
Last Name:ACERO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:L
Other - Last Name:MORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:799 CURTISWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-2404
Mailing Address - Country:US
Mailing Address - Phone:305-361-0860
Mailing Address - Fax:
Practice Address - Street 1:3663 S MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4253
Practice Address - Country:US
Practice Address - Phone:305-854-0616
Practice Address - Fax:305-836-7101
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9176123363LA2100X
FLARNP9176123363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care