Provider Demographics
NPI:1770826745
Name:ACOSTA, FRANCES JACINTO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:JACINTO
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ANN
Other - Last Name:JACINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:529 W DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-4012
Mailing Address - Country:US
Mailing Address - Phone:813-363-7787
Mailing Address - Fax:
Practice Address - Street 1:206 BUCKINGHAM PL STE 102
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4910
Practice Address - Country:US
Practice Address - Phone:813-653-2020
Practice Address - Fax:813-653-2205
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125173207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery