Individual
JASON ROBERT ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, SUITE 201, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME106623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
10/31/2006
Last updated
08/05/2010
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