Individual
CHRISTI LEIGH SAKLAD-COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 OFFICE PARK DR, PALM COAST, FL 32137-3808
(866) 400-3376
(863) 446-6066
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA051738
PA
363A00000X
Physician Assistant
Primary
PA9109647
FL
363AM0700X
Medical Physician Assistant
MA051738
PA
Other
Enumeration date
09/21/2005
Last updated
01/22/2024
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