Individual
DR. THOMAS P COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2710 NE 18TH ST, FORT LAUDERDALE, FL 33305-3606
(267) 884-3858
Mailing address
2710 NE 18TH ST STE A, FORT LAUDERDALE, FL 33305-3606
(267) 884-3858
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS005840L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS6729
FL
Other
Enumeration date
07/13/2007
Last updated
03/30/2025
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