Individual
DR. EDWIN ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2560 E HIGHWAY 50 STE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(352) 989-5903
Mailing address
2560 E HIGHWAY 50 STE 103, CLERMONT, FL 34711-8411
(352) 989-5815
(352) 989-5903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
57256
CA
1223G0001X
General Practice Dentistry
Primary
DN19583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002630100
—
FL
Enumeration date
08/06/2008
Last updated
10/09/2018
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