Provider Demographics
NPI:1427311075
Name:ACQUINO, KATIE MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:MARIE
Last Name:ACQUINO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3313 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9423
Mailing Address - Country:US
Mailing Address - Phone:954-949-2100
Mailing Address - Fax:954-949-2111
Practice Address - Street 1:3313 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9423
Practice Address - Country:US
Practice Address - Phone:954-949-2100
Practice Address - Fax:954-949-2111
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2016-08-26
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Provider Licenses
StateLicense IDTaxonomies
FLOS 11727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine