Craig J Acosta is a Surgical in Jacksonville, Florida. Craig J Acosta practices all healthcare services and medical treatments related to Surgical. The NPI Number for Craig J Acosta is 1467416479. The last update date is 2022-11-23.
Craig J Acosta's current location address is 836 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9043983888 and fax number 9044006675. The mailing address for Craig J Acosta is 836 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig J Acosta |
|---|---|
| Address | 836 Prudential Dr, Jacksonville, Florida |
| Phone Number | 9043983888 |
| Fax Number | 9044006675 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467416479 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2022-11-23 |
Provider Mailing Address Detail
| Address | 836 Prudential Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32207 |
| Phone Number | 9043983888 |
| Fax Number | 9044006675 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9104144 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 591100 | FL | -- | |
| P00798356 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Craig J Acosta's unique identification number?
The Craig J Acosta has been assigned the NPI (National Provider Identifier) Number 1467416479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Craig J Acosta's physical address?
The Craig J Acosta is physically located at 836 Prudential Dr, in the city of Jacksonville, FL, with the postal code 32207.
What is Craig J Acosta's area of expertise and its corresponding taxonomy classification?
The Craig J Acosta's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Craig J Acosta receive its 1467416479 assignment from the Centers for Medicare & Medicaid Services?
The Craig J Acosta was assigned its 1467416479 by the Centers for Medicare & Medicaid Services on 2006-04-14.
As of what date was the information regarding Craig J Acosta, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig J Acosta, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-23.