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General NPI Number Information
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NPI Number | 1619190402
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Entity Type | Organization
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Legal Business Name | SIGFREDO ACOSTA PEREZ M.D. P.A.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 595 N COURTENAY PKWY SUITE 204
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4851
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Country | US
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Telephone | 321-452-3920
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Fax | 321-459-1258
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Provider Business Mailing Address
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Address Line | 595 N COURTENAY PKWY SUITE 204
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4851
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Country | US
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Telephone | 321-452-3920
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Fax | 321-459-1258
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIGFREDO ACOSTA-PEREZ
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Credential | M.D.
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Telephone | 321-452-3920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 64632
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License Number State | FL
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