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General NPI Number Information
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NPI Number | 1922532738
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Entity Type | Individual
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Provider Name | LUIS RAMON ACOSTA GONZALEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1130 S SEMORAN BLVD STE B-C
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City | ORLANDO
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State | FL
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Zip | 32807-1457
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Country | US
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Telephone | 407-382-1376
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Fax | 321-235-3232
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 407-382-1376
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Fax | 321-235-3232
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 17-226
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11036557
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License Number State | FL
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