Individual
DR. ANTHONY COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5047 2ND AVE N, ST PETERSBURG, FL 33710-8207
(954) 551-7730
Mailing address
5047 2ND AVE N, ST PETERSBURG, FL 33710-8207
(954) 551-7730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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