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

Genevieve Costello, PA

Individual provider Physician Assistant · NPI 1760482632

Genevieve Costello, PA is a Physician Assistant in Miami Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4306 Alton Rd Fl 2D
Miami Beach, FL 33140-2840
Phone: (305) 674-2397
Fax: (305) 674-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104431 (FL)

Record details

NPI number1760482632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 21, 2005
Last updated in NPPESFebruary 24, 2010

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