Organization
EUGENE N. COSTANTINI, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE NORMAN COSTANTINI M.D. (OWNER)
(954) 462-4413
Entity
Organization
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
03/03/2011
Last updated
03/03/2011
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