MR. Keith Thomas Costello, FNP

NPI #1407553761 in Ocala, Florida

Provider Information

NPI Number
1407553761
Entity Type
Individual
Name
MR. Keith Thomas Costello, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Feb 7, 2023
Last Updated
Feb 17, 2023

Practice Location

Address
3310 SW 34TH ST
City
Ocala
State
Florida
ZIP Code
34474-7422
Phone
(352) 873-0707

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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