MICHAEL J COSTELLO MD PA

FORT PIERCE, FL
NPI1114002995
Entity TypeOrganization
Authorized ContactMICHAEL J COSTELLO
President
772-461-4666
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  ME0026473)
Enumeration Date2006-10-27
Last Update Date2013-01-16
Business Address
MICHAEL J COSTELLO MD PA
2215 NEBRASKA AVE SUITE 3-D
FORT PIERCE, FL 34950-4864
Phone number: 772-461-4666
Mailing Address
MICHAEL J COSTELLO MD PA
2215 NEBRASKA AVE SUITE 3-D
FORT PIERCE, FL 34950-4864
Phone number: 772-461-4666
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