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MRS. MICHELLE NICHOLE ACOSTA PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1154607596

Individual Registrant:
MRS. MICHELLE NICHOLE ACOSTA PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6500 38TH AVE N  SAINT PETERSBURG, FL 33710-1629 US
Tel: 727-384-1414  Fax: --

Contact information for business:
6500 38TH AVE N  SAINT PETERSBURG, FL 33710-1629 US
Tel: 727-384-1414  Fax: --

Registration Information:
NPI: 1154607596
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
FLPA9106279

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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