Individual
DR. ALEXANDRA MARION PAMELA KOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 OCEAN SHORE BLVD APT 202, ORMOND BEACH, FL 32176-4179
(386) 679-7025
(386) 441-2564
Mailing address
1051 OCEAN SHORE BLVD APT 202, ORMOND BEACH, FL 32176-4179
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME63389
FL
208D00000X
General Practice Physician
107827
MO
208D00000X
General Practice Physician
ME63389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250999700
—
FL
Enumeration date
10/25/2005
Last updated
12/01/2025
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