| NPI | 1821300344 |
|---|---|
| Former Legal Business Name | BRIAN A COSTELL MD PA |
| Entity Type | Organization |
| Authorized Contact | BRIAN ADAM COSTELL Neurologist/CEO Owner 561-482-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME90900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME90900) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2011-12-09 |