Costello, Genevieve

Costello, Genevieve is an sole proprietor health care provider with primary practice located at 4306 Alton Rd Fl 2D , Miami Beach FL 33140-2840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Costello, Genevieve can be contacted via phone (305) 674-2397.

Contact Information

Primary practice address
4306 Alton Rd Fl 2D Miami Beach FL 33140-2840
Phone: (305) 674-2397
Fax: (305) 674-2863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104431 Florida

Profile Details

NPI number 1760482632
LBN Legal business name Costello, Genevieve
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Feb 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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