Fredrick Costello, D.D.S

NPI 1245243401 · on the registry since 2006

Practice

Address: 1089 W Granada Blvd
Suite 1
Ormond Beach, FL 32174
Phone: (386) 673-1611
Fax: (386) 672-3543
Organisation at this address: Florida Eye Clinic P A
Kraski, Costello & Drake, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida