Dr Gilbert Acevedo Acosta, MD | |
801 E Dixie Ave Ste 101, Leesburg, FL 34748-7601 | |
(352) 326-4031 | |
(352) 360-0257 |
Full Name | Dr Gilbert Acevedo Acosta |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 801 E Dixie Ave Ste 101, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104845767 | NPI | - | NPPES |
JP802 | Other | FL | MEDICARE |
24610300 | Medicaid | FL | |
PZ074 | Other | FL | MEDICARE |
ACN1010 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN1010 (Florida) | Primary |
207R00000X | Internal Medicine | ACN1010 (Florida) | Secondary |
Entity Name | Centerwell Senior Primary Care Fl Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657 |
Mailing Address | Practice Location Address |
---|---|
Dr Gilbert Acevedo Acosta, MD 801 E Dixie Ave Ste 101, Leesburg, FL 34748-7601 Ph: (352) 326-4031 | Dr Gilbert Acevedo Acosta, MD 801 E Dixie Ave Ste 101, Leesburg, FL 34748-7601 Ph: (352) 326-4031 |
Dr. Jackeline Lopez, General Practice Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave Ste 101, Leesburg, FL 34748 Phone: 352-326-4031 Fax: 352-360-0257 | |
Jose Llamas, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 352-350-2014 | |
Blandine Pierre, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Hamidreza Ebneshahidi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 844-388-6186 | |
Omar Jose Vazquez Alicea, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Yanira R. Feliciano Montalvo, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 844-388-6186 |