Acevedo Acosta, Gilbert
Acevedo Acosta, Gilbert is an sole proprietor health care provider with primary practice located at 801 E Dixie Ave Ste 101 , Leesburg FL 34748-7601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Acevedo Acosta, Gilbert can be contacted via phone (352) 326-4031.Contact Information
Primary practice address
801 E Dixie Ave Ste 101
Leesburg FL 34748-7601
Phone: (352) 326-4031
Fax: (352) 360-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1010 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ACN1010 | Florida |
Profile Details
| NPI number | 1104845767 |
|---|---|
| LBN Legal business name | Acevedo Acosta, Gilbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104845767 | NPPES |
| Florida | Other | JP802 | MEDICARE |
| Florida | MEDICAID | 24610300 | MEDICARE |
| Florida | Other | PZ074 | MEDICARE |
| Florida | Other | ACN1010 | MEDICARE |
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