# CARLOS F ACOSTA MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386893592
- **Authorized official:** MS. PHYLLIS J ACOSTA (OFFICE MANAGER)
- **Authorized official phone:** (757) 826-2102

## Contact information

- **Practice address:** 2100 HARTFORD RD, HAMPTON, VA 23666-2409
- **Practice address phone:** (757) 826-2102
- **Practice address fax:** (757) 825-9482
- **Mailing address:** 2100 HARTFORD RD, HAMPTON, VA 23666-2409
- **Mailing address phone:** (757) 826-2102
- **Mailing address fax:** (757) 825-9482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101019396 | VA | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 04/18/2011
