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
Fax: (772) 464-3005
Website:
Authorized official contact:
Name: Costello, Michael J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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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