Provider Demographics
NPI:1811368301
Name:ACOSTA, ANA MARIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:MARIA
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 SE 24TH ST
Mailing Address - Street 2:FLORIDA DEPARTMENT OF HEALTH IN ALACHUA COUNTY
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-7516
Mailing Address - Country:US
Mailing Address - Phone:352-334-7910
Mailing Address - Fax:352-334-7957
Practice Address - Street 1:224 SE 24TH ST
Practice Address - Street 2:FLORIDA DEPARTMENT OF HEALTH IN ALACHUA COUNTY
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-7516
Practice Address - Country:US
Practice Address - Phone:352-334-7910
Practice Address - Fax:352-334-7957
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108125363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant