Individual
JOHN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N ORANGE AVE STE 442, ORLANDO, FL 32804-4644
(407) 303-2001
Mailing address
2501 N ORANGE AVE STE 442, ORLANDO, FL 32804-4644
(407) 303-2001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35146063
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME178865
FL
Other
Enumeration date
07/21/2009
Last updated
03/19/2026
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