-- MICHAEL J COSTELLO -- MD
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1366470403- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2215 NEBRASKA AVE SUITE 3D, FORT PIERCE, FL, 349504864
- Phone
- (772) 461-4666
- Fax
- (772) 464-3005
Specialties & Taxonomies
Surgery
Primary License: FL #ME0026473
Unknown
License: FL #ME0026473
Colon & Rectal Surgery
License: FL #ME0026473