| Entity Name: | ROBERTO J. ACOSTA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Apr 1998 (27 years ago) |
| Document Number: | P98000036532 |
| FEI/EIN Number | 650837632 |
| Address: | 2055 Military Trail, Suite 204, Jupiter, FL, 33458, US |
| Mail Address: | 2055 Military Trail, Suite 204, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386799989 | 2007-01-24 | 2019-01-23 | 1000 45TH ST, SUITE 2, WEST PALM BEACH, FL, 334072434, US | 1000 45TH ST, SUITE 2, WEST PALM BEACH, FL, 334072434, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-845-7770 |
| Fax | 5618422988 |
Authorized person
| Name | DR. ROBERTO J ACOSTA |
| Role | OWNER |
| Phone | 5618457770 |
Taxonomy
| Taxonomy Code | 207XS0106X - Orthopaedic Hand Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252401500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HANLON M T | Agent | 321 ROYAL POINCIANA PLAZA, PALM BEACH, FL, 33480 |
| Name | Role | Address |
|---|---|---|
| ACOSTA ROBERTO J | Director | 2055 Military Trail, Jupiter, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | 2055 Military Trail, Suite 204, Jupiter, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-01 | 2055 Military Trail, Suite 204, Jupiter, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-15 | 321 ROYAL POINCIANA PLAZA, PALM BEACH, FL 33480 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
