Acosta Martinez, Juan Carlos
Acosta Martinez, Juan Carlos is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-2113. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Acosta Martinez, Juan Carlos can be contacted via phone (352) 273-8610.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-2113
Phone: (352) 273-8610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME163483 | Florida |
Profile Details
| NPI number | 1821521469 |
|---|---|
| LBN Legal business name | Acosta Martinez, Juan Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Aug 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821521469 | NPPES |
| Florida | MEDICAID | 118717000 |
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