# ALEXANDRA KOSTICK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700039161
- **Authorized official:** DR. ALEXANDRA MARION PAMELA KOSTICK (DIRECTOR)
- **Authorized official phone:** (386) 446-9590

## Contact information

- **Practice address:** 3 PINE CONE DR, SUITE 104, PALM COAST, FL 32137-8685
- **Practice address phone:** (386) 446-9590
- **Mailing address:** 3 PINE CONE DR, SUITE 104, PALM COAST, FL 32137-8685
- **Mailing address phone:** (386) 446-9590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME63389 | FL | Yes |

## Other

- **Enumeration date:** 10/29/2008
- **Last updated:** 10/29/2008