Individual provider · NPI-1

Gonzalo Javier Acosta, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism · Gainesville, FL

NPI number1972025252
StatusActive
Last updated in NPPESMar 3, 2022

Details

NPI
1972025252
Entity type
Individual (NPI-1)
Name
Gonzalo Javier Acosta
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2017
Certification date
Mar 3, 2022
Last updated
Mar 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & MetabolismME153129FLYes
207R00000X Internal MedicineME153129FL

Practice location

1600 Sw Archer Rd
Gainesville, FL 32610-2717

Phone 352-273-8656 · Fax 352-273-7441

Mailing address

Po Box 100226
Gainesville, FL 32610-0226

Phone 352-273-8656 · Fax 352-273-7441

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