Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J Costello MD PA

Organization Surgery Physician · NPI 1114002995

Michael J Costello MD PA is a Surgery Physician in Fort Pierce, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2215 Nebraska Ave Ste 3-D
Fort Pierce, FL 34950-4864
Phone: (772) 461-4666
Fax: (772) 464-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME0026473 (FL)

Record details

NPI number1114002995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Costello — President · (772) 461-4666
NPI enumeratedOctober 27, 2006
Last updated in NPPESJanuary 16, 2013
Mailing address2215 Nebraska Ave, Suite 3-D, Fort Pierce, FL 34950-4864

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