Acosta, Edwin
Acosta, Edwin is an individual health care provider with primary practice located at 2560 E Highway 50 Ste 103 , Clermont FL 34711-8411. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Acosta, Edwin can be contacted via phone (352) 989-5815.Contact Information
Primary practice address
2560 E Highway 50 Ste 103
Clermont FL 34711-8411
Phone: (352) 989-5815
Fax: (352) 989-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 57256 | California |
| Dental Providers / General Practice | 1223G0001X | DN19583 | Florida |
Profile Details
| NPI number | 1578729711 |
|---|---|
| LBN Legal business name | Acosta, Edwin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Oct 9th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578729711 | NPPES |
| Florida | MEDICAID | 002630100 |
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