Individual provider · Type 1 NPI

Michael J. Costello, MD

Surgery Physician · Fort Pierce, FL

NPI number 1366470403 Active

Practice location

2215 Nebraska Ave, Suite 3D
Fort Pierce, FL 34950-4864

Fax (772) 464-3005

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	ME0026473 (FL)
Vascular Surgery Physician	2086S0129X	ME0026473 (FL)
Colon & Rectal Surgery Physician	208C00000X	ME0026473 (FL)

Surgery Physician: 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 increasin…

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About NPI 1366470403

Michael J. Costello, MD's National Provider Identifier is 1366470403, issued on Jun 29, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Pierce, FL. The record was last updated on Jan 23, 2013.