Individual
EVELISSE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5011 W HILLSBOROUGH AVE STE N, TAMPA, FL 33634-5309
(813) 901-9369
(813) 901-9368
Mailing address
5011 W HILLSBOROUGH AVE STE N, TAMPA, FL 33634-5309
(813) 901-9369
(813) 901-9368
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA50300
FL
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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