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1073174314
JONATHAN VIVAR ACOSTA
TALLAHASSEE, FL
NPI
1073174314
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Other Name
JONATHAN PATRICIO VIVAR ACOSTA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME158060)
Enumeration Date
2019-06-26
Last Update Date
2022-11-17
Business Address
Dr. JONATHAN VIVAR ACOSTA MD
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4402
Phone number: 850-325-5000
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Mailing Address
Dr. JONATHAN VIVAR ACOSTA MD
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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