Individual
EUGENE NORMAN COSTANTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1777 S ANDREWS AVE, SUITE 301, FT LAUDERDALE, FL 33316-2517
(954) 462-4413
(954) 462-5413
Mailing address
1777 S ANDREWS AVE, SUITE 301, FT LAUDERDALE, FL 33316-2517
(954) 462-4413
(954) 462-5413
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME57582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063842100
—
FL
Enumeration date
07/19/2005
Last updated
10/05/2012
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