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Dr. Rudolph Acosta JR., MD
Specialist in Tampa, Florida
NPI 1285645564

Rudolph Acosta JR. is a Specialist based in Tampa, FL. Rudolph Acosta JR. practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Rudolph Acosta JR. is 1285645564 and holds a License No. ME47932 (Florida).

The current practice location address for Rudolph Acosta JR. is 12408 N 56Th St, Tampa, FL and can be reached out via phone at 813-980-3104 and via fax at 813-980-3106.

Location: 12408 N 56Th St, Tampa, FL, 33617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285645564
Provider Name
Rudolph Acosta JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12408 N 56Th St, Tampa, FL, 33617
Phone Number
813-980-3104
Fax Number
813-980-3106
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1642018006 01 FL CIGNA
260315200 05 FL
340001936 01 FL RAILROAD MEDICARE
0451879 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
12408 N 56Th St
City
Tampa
State
Florida
Zip
33617
Phone Number
813-980-3104
Fax Number
813-980-3106
person
Provider Business Mailing Address Details
Address
12408 N 56Th St
City
Tampa
State
Florida
Zip
33617
Phone Number
813-980-3104
Fax Number
813-980-3106
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME47932 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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