MEDICARE: MARIANELA HORTA 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
1	363LP2300X	Primary Care Nurse Practitioner	F11029504	FL

General Provider Information

NPI Number	:	1427830314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANELA HORTA ACOSTA

Provider Business Mailing Address
First Line	:	1215 S EAST AVE STE 307
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2354
Country	:	US
Telephone Number	:	941-312-6196
Fax Number	:	941-312-4718

Provider Business Practice Location Address
First Line	:	1215 S EAST AVE STE 307
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2354
Country	:	US
Telephone Number	:	941-312-6196
Fax Number	:	941-312-4718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	03/10/2026

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