Individual provider · Type 1 NPI
Charlene Edmee D'acosta, MD
General Practice Physician · Port Richey, FL
NPI number
1306802905
Active
Practice location
10085 US Highway 19 Ste Gte
Port Richey, FL 34668-3742
Fax (727) 810-8064
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN813 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1306802905
Charlene Edmee D'acosta, MD's National Provider Identifier is 1306802905, issued on Apr 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port Richey, FL. The record was last updated on Jul 16, 2025.