Individual
DR. RUDOLPH ACOSTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12408 N 56TH ST, SUITE 1, TAMPA, FL 33617
(813) 980-3104
(813) 980-3106
Mailing address
12408 N 56TH ST, SUITE 1, TAMPA, FL 33617
(813) 980-3104
(813) 980-3106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME47932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451879
AETNA
FL
01
—
1642018006
CIGNA
FL
05
—
260315200
—
FL
01
—
340001936
RAILROAD MEDICARE
FL
Enumeration date
08/11/2006
Last updated
09/17/2012
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