Costello, James Robert

Costello, James Robert is an individual health care provider with primary practice located at 18615 Rue Beauvais , Lutz FL 33558-7112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Costello, James Robert can be contacted via phone (813) 745-7365.

Contact Information

Primary practice address
18615 Rue Beauvais Lutz FL 33558-7112
Phone: (813) 745-7365
Fax: (813) 449-8618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 001415 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME135474 Florida

Profile Details

NPI number 1215115233
LBN Legal business name Costello, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Jan 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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