Individual
CRAIG J ACOSTA
Active
Individual
CRAIG J ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2025040000
MO
363AS0400X
Surgical Physician Assistant
Primary
PA9104144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000591100
—
FL
01
—
P00798356
MEDICARE RAILROAD
—
Enumeration date
04/14/2006
Last updated
12/08/2025
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