Individual
STEPHANIE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-3326
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7032
FL
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
03/23/2021
Last updated
11/11/2022
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