Acosta, Andres R

Acosta, Andres R is an individual health care provider with primary practice located at 6716 Nw 11Th Place Ste 200, Gainesville FL 32605-4215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Acosta, Andres R can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Place Ste 200 Gainesville FL 32605-4215
Phone: (352) 331-9729
Fax: (352) 371-3372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME82462 Florida

Profile Details

NPI number 1962405852
LBN Legal business name Acosta, Andres R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 7th, 2022 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962405852 NPPES
Florida Other 239216 AVMED
Florida Other 51033 AVMED
Florida Other 270855 AVMED
Florida Other 3001133401 AVMED
Florida MEDICAID 261570300 AVMED
Florida Other P0037146 AVMED
Florida Other 51033 AVMED
Florida Other P00370146 AVMED

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