DR. RUDOLPH ACOSTA JR. (NPI# 1285645564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285645564 |
| Entity Type | Individual |
| Full Name | DR. RUDOLPH ACOSTA JR. |
| Credential | MD |
| Practice Address |
12408 N 56th St Suite 1 Tampa FL 33617 |
| Practice Telephone | 8139803104 |
| Practice Fax Number | 8139803106 |
| Mailing Telephone | 8139803104 |
| Mailing Fax Number | 8139803106 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME47932 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1642018006 | 01 |
| FL | 260315200 | 05 | |
| FL | AETNA | 0451879 | 01 |
| FL | RAILROAD MEDICARE | 340001936 | 01 |
| Street Address |
12408 N 56TH ST SUITE 1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407013493 | Access Pathology Inc | Clinical Medical Laboratory | 12408 N 56th St, Suite 4, Tampa, FL 33617-1522 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852709 | Suchithra Hirode Ph D LLC | Specialist | 9643 Gretna Green Drive, Tampa, FL 33626 | 2016-03-04 |
| 1134588247 | Andrew Morath | Specialist | 2402 S 68th St, Tampa, FL 33619-5822 | 2016-02-17 |
| 1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
| 1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
| 1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
| 1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
| 1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
| 1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
| 1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.