Individual
ANDRES R ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(352) 371-3372
Mailing address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(352) 371-3372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME82462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239216
AVMED
FL
05
—
261570300
—
FL
01
—
270855
AVMED
FL
01
—
3001133401
RAILROAD MEDICARE
FL
01
—
51033
BCBS FL
FL
01
—
P00370146
RAILROAD MEDICARE
FL
01
—
P0037146
RAILROAD MEDICARE
FL
Enumeration date
05/24/2005
Last updated
03/07/2022
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