DR. JASON ACOSTA


Address: 111 Avenue A Se, Winter Haven, FL 33880
Phone: 8636195999

DR. JASON ACOSTA (NPI# 1689033201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689033201
Entity Type Individual
Full Name DR. JASON ACOSTA
Credential MD
Practice Address 111 Avenue A Se
Winter Haven
FL 33880
Mailing Address 4700 Exploration Ave
Lakeland
FL 33812-3319
Practice Telephone 8636195999
Practice Fax Number 8636195995
Mailing Telephone 8884141413
Mailing Fax Number 8636195995
Enumeration Date 2016-02-11
Last Update Date 2019-05-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ACN937 FL Allopathic & Osteopathic Physicians
N 208D00000X General Practice 13732I PR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3655 Innovation Dr, Lakeland, FL 338124106 8636195999 8636195995

Other Providers JASON ACOSTA

NPI Name Taxonomy Address Enumeration
1477639409 Jason Robert Acosta Anesthesiology 601 E Rollins St, Orlando, FL 32803-1248 2006-10-31

Office Location

Street Address 111 AVENUE A SE
City WINTER HAVEN
State FL
Zip Code 33880

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629576301 Claudia Esson Nurse Practitioner 111 Avenue A Se, Winter Haven, FL 33880-6302 2018-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851896955 Cheryl Gonzalez Physical Therapy Assistant 1601 6th Street Swe, Winter Haven, FL 33880 2018-03-29
1265950661 Integrity Prosthetics and Orthotics Prosthetic/Orthotic Supplier 135 1st Street South, Winter Haven, FL 33880 2017-09-06
1912423427 Stacy Lewis Counselor 1943 Ave E Sw, Winter Haven, FL 33880 2017-08-16
1497275952 Kleine Pediatrics Pediatrics 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 2017-06-26
1255851457 Farah N Habib Dentist 375 E Central Ave, Suite 361, Winter Haven, FL 33880 2017-06-20
1356878086 Congruent Hearts Companions Home Health 111 Ave R N.e., Winter, FL 33880 2017-05-12
1629440573 National Vision, Inc. Technician/Technologist 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 2015-10-30
1518336825 Nicole A. Domenech General Practice 950 First St. South, Winter Haven, FL 33880 2015-09-16
1447666417 Lee Tramell Vickers Pharmacist 701 1st Street, Winter Haven, FL 33880 2014-07-10
1003248865 Swift Home Health Care LLC Home Health 141 Ave A Se, Winter Haven, FL 33880 2013-08-05
Find all providers in zip 33880

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518336825 Nicole A. Domenech General Practice 950 First St. South, Winter Haven, FL 33880 2015-09-16
1609040229 Lidzoe Correa- Mateo General Practice 7558 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 2008-04-15
1811167505 Eliud Arnaldo Deltoro Rivera General Practice 2791 Lake Alfred Rd, Winter Haven, FL 33881-1432 2008-03-10
1396871273 Xiomara Quinones Vargas General Practice 2791 L:ake Alfred Rd, Winter Haven, FL 33881 2007-02-26
1205804259 Amarilys Colon Tirado General Practice 199 Avenue K Se, Winter Haven, FL 33880-4002 2006-03-08
1851789192 Anna Jose Elissenda Chanoine General Practice 700 1st St S, Winter Haven, FL 33880-3605 2015-01-08
1730417312 Luis J. Rodriguez Colon General Practice 550 Pope Ave Nw, Winter Haven, FL 33881-4679 2009-11-19
1427289206 Luisa M. Nieves Lopez General Practice 7558 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 2009-07-28
1922168509 Acupuncture & Oriental Medicine Inc General Practice 306 Avenue C Ne, Winter Haven, FL 33881-4558 2006-12-12
1497846182 Liem That Ton General Practice 325 1st St N, Winter Haven, FL 33881-4111 2006-09-27
Find all providers in WINTER HAVEN

Competitor

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City WINTER HAVEN
Zip Code 33880

Improve Information

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Dataset Information

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.

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