Michael J Costello Md Pa
LBN: Michael J Costello Md Pa
Michael J Costello Md Pa is an health care organization with primary practice located at 2215 Nebraska Ave Suite 3-D, Fort Pierce FL 34950-4864. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Michael J Costello Md Pa can be contacted via phone (772) 461-4666, or through Costello, Michael J via phone (772) 461-4666.
Contact Information
Primary practice address
2215 Nebraska Ave Suite 3-D
Fort Pierce FL 34950-4864
Phone: (772) 461-4666
Fax: (772) 464-3005
Website:
Authorized official contact:
Name: Costello, Michael J Doctor of Medicine (MD)
Phone: (772) 461-4666
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0026473 | Florida |
Profile Details
| NPI number | 1114002995 |
|---|---|
| LBN Legal business name | Michael J Costello Md Pa |
| DBA Doing business as | |
| Authorized official | Costello, Michael J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jan 16th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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