Acosta, Jason Robert

Acosta, Jason Robert is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Acosta, Jason Robert can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 667-0444
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME106623 Florida

Profile Details

NPI number 1477639409
LBN Legal business name Acosta, Jason Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 5th, 2010 - about 15 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 1477639409 NPPES
Florida Other PENDING BCBS
Florida MEDICAID PENDING BCBS

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