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Individual

JASON ROBERT ACOSTA

Active
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Individual

JASON ROBERT ACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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