Individual
COSTAL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1185 NE 131ST ST, NORTH MIAMI, FL 33161-4238
(305) 733-7825
Mailing address
1185 NE 131ST ST, NORTH MIAMI, FL 33161-4238
(305) 733-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11047507
FL
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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