Organization
GABRIEL A COSTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J LOPEZ (BILLING AGENT)
(305) 251-3991
Entity
Organization
Contact information
Practice address
3181 CORAL WAY, SUITE 301, CORAL GABLES, FL 33145-3216
(305) 444-4546
Mailing address
3181 CORAL WAY, SUITE 301, CORAL GABLES, FL 33145-3216
(305) 444-4546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
09/25/2012
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