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General NPI Number Information
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NPI Number | 1669309852
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Entity Type | Organization
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Legal Business Name | PRS & HAND SERVICES OF SOUTH TEXAS PLLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 108 NW 76TH DR STE A
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City | GAINESVILLE
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State | FL
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Zip | 32607-6632
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Country | US
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Telephone | 504-415-2092
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Fax |
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Provider Business Mailing Address
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Address Line | 10488 SW 41ST AVE
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City | GAINESVILLE
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State | FL
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Zip | 32608-9145
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Country | US
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Telephone | 504-415-2092
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A MATEO DE ACOSTA
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Credential | MD
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Telephone | 504-415-2092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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