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NPI Code Detail

MEDICARE: AMBER ACOSTA PA-C

MEDICARE: AMBER ACOSTA PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1689550733
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ACOSTA PA-C
Provider Business Mailing Address
First Line : 8971 SW 21ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-8255
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 03/10/2026

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Directions to “ AMBER ACOSTA PA-C” Practice Location

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