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Individual

DR. ERNEST COSTANTINO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
768 MIDDLE RIVER DR, FORT LAUDERDALE, FL 33304-3512
(954) 563-5168
Mailing address
768 MIDDLE RIVER DRIVE, FORT LAUDERDALE, FL 33304
(954) 563-5168

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 13947
FL

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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