MICHAEL J COSTELLO MD PA NPI 1114002995

NPI Details

MICHAEL J COSTELLO MD PA is a surgery in Fort Pierce, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MICHAEL J COSTELLO MD PA NPI is 1114002995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2215 NEBRASKA AVE
SUITE 3-D
FORT PIERCE, FL
ZIP 34950-864
Phone: (772) 461-4666
Fax: (772) 464-3005

The provider's authorized official is Michael J Costello .
The authorized official title is President and has the following contact phone number (772) 461-4666.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 1/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.