Individual
MR. VINCENT COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4668
(954) 771-8000
Mailing address
2658 SE 11TH ST, POMPANO BEACH, FL 33062-7033
(954) 857-1977
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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