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NPI Code Detail

MEDICARE: TAHIANA A ACOSTA

MEDICARE: TAHIANA A ACOSTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner11035346FL

General Provider Information

NPI Number : 1306673132
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAHIANA A ACOSTA
Provider Business Mailing Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 786-484-3471
Fax Number :
Provider Business Practice Location Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 786-484-3471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 06/01/2026

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Directions to “ TAHIANA A ACOSTA ” Practice Location

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