Individual
MR. KEVIN COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 CELEBRATION PL, ATTN: SPORTS MEDICINE, CELEBRATION, FL 34747-4970
(407) 303-4053
(407) 303-4208
Mailing address
400 CELEBRATION PL, ATTN: SPORTS MEDICINE, CELEBRATION, FL 34747-4970
(407) 303-4053
(407) 303-4208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 824
FL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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