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Individual

DR. ALEXANDRA M KOSTUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7807 BAYMEADOWS RD E STE 207, JACKSONVILLE, FL 32256-9666
(904) 446-9991
(904) 446-9992
Mailing address
7807 BAYMEADOWS RD E STE 207, JACKSONVILLE, FL 32256-9666
(904) 446-9991
(904) 446-9992

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-082408
OH
208000000X
Pediatrics Physician
Primary
ME100724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2412964
OH
Enumeration date
01/11/2006
Last updated
04/15/2015
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