Kevin M Costello (NPI# 1366675605, PAC ID# 2466582580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1366675605 |
| PAC ID by PECOS | 2466582580 |
| Professional Enrollment ID | I20100615000889 |
| Full Name | Kevin M Costello |
| Organization Legal Name | FLACO HOLDINGS INC |
| Address |
5500 Nw 69th Ave Suite 161 Lauderhill FL 33319-7238 |
| Phone Number | 9544402696 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9931239050 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 | 9544402696 | FLACO HOLDINGS INC |
| Organization Legal Name | FLACO HOLDINGS INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Skinner Sandora | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Gary Miller | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Linda Hicks | Occupational Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Marilyn Sokolovsky | Occupational Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Karen Cordeiro | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Street Address |
5500 NW 69TH AVE SUITE 161 |
| City | LAUDERHILL |
| State | FL |
| Zip | 33319-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Skinner Sandora | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Gary Miller | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Linda Hicks | Occupational Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Marilyn Sokolovsky | Occupational Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Karen Cordeiro | Physical Therapy | Flaco Holdings Inc | 5500 Nw 69th Ave, Suite 161, Lauderhill, FL 33319-7238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Gregorio Aguilar | Nurse Practitioner | Henderson Behavioral Health, Inc. | 4700 N State Rd, Suite 7, Lauderdale Lakes, FL 33319 |
| Patricia C Perez | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Shahrad Mabourakh | Internal Medicine | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Matthew Jay Wolland | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Sandra Stone Sundel | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Frances M Krohn | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Sheldon H Kreda | Optometry | 7020 W Commercial Boulevard, Lauderhill, FL 33319-2122 | |
| Janet Gorfain | Clinical Social Worker | 6635 W Commercial Blvd, Suite 105, Tamarac, FL 33319-2141 | |
| Ibiza Nevares | Physical Medicine and Rehabilitation | 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319-2147 | |
| Herbert R Slavin | Internal Medicine | 7200 W Commercial Blvd, Suite 210, Lauderhill, FL 33319-2148 | |
| Find all physicians in zip 33319 | |||
| City | LAUDERHILL |
| Zip Code | 33319 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAUDERHILL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kevin M Costello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.