Individual
ANTHONY R. COSTARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6000
Mailing address
5729 WESTSHORE DR, NEW PORT RICHEY, FL 34652-3036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME23095
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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