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Contact Information

ALYSSA COSTA, LAC
7710 NW 71ST CT
TAMARAC, FL33321-2973
 Phone: 754-201-3090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ALYSSA COSTA · (Female)

NPI Number 1679428536
Status Active
Credentials LAC
Entity Individual
Enumeration date 03/04/2026
Last updated 03/04/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 37AC00871200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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