Acosta, Rudolph

Acosta, Rudolph is an individual health care provider with primary practice located at 12408 N 56Th St Suite 1, Tampa FL 33617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Acosta, Rudolph can be contacted via phone (813) 980-3104.

Contact Information

Primary practice address
12408 N 56Th St Suite 1 Tampa FL 33617
Phone: (813) 980-3104
Fax: (813) 980-3106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME47932 Florida

Profile Details

NPI number 1285645564
LBN Legal business name Acosta, Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 17th, 2012 - about 12 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 1285645564 NPPES
Florida Other 1642018006 CIGNA
Florida MEDICAID 260315200 CIGNA
Florida Other 340001936 CIGNA
Florida Other 0451879 CIGNA

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