Individual
GABRIELLE COSTABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
63291
FL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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