Healthcare Provider Details

I. General information

NPI: 1669309852
Provider Name (Legal Business Name): PRS & HAND SERVICES OF SOUTH TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 NW 76TH DR STE A
GAINESVILLE FL
32607-6632
US

IV. Provider business mailing address

10488 SW 41ST AVE
GAINESVILLE FL
32608-9145
US

V. Phone/Fax

Practice location:
  • Phone: 504-415-2092
  • Fax:
Mailing address:
  • Phone: 504-415-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID A MATEO DE ACOSTA
Title or Position: OWNER
Credential: MD
Phone: 504-415-2092