Individual
BELA ALEX KOSZTACZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 436-5000
Mailing address
104 FIESTA DR, ORMOND BEACH, FL 32174-4964
(423) 470-1615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000027776
TN
207R00000X
Internal Medicine Physician
Primary
ME80777
FL
Other
Enumeration date
01/23/2007
Last updated
01/19/2011
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