Organization
ALEXANDRA KOSTICK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA MARION PAMELA KOSTICK (DIRECTOR)
(386) 446-9590
Entity
Organization
Contact information
Practice address
3 PINE CONE DR, SUITE 104, PALM COAST, FL 32137-8685
(386) 446-9590
Mailing address
3 PINE CONE DR, SUITE 104, PALM COAST, FL 32137-8685
(386) 446-9590
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME63389
FL
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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