Kostick, Alexandra Marion Pamela
Kostick, Alexandra Marion Pamela is an individual health care provider with primary practice located at 3 Pine Cone Dr Suite 104, Palm Coast FL 32137-8685. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Kostick, Alexandra Marion Pamela can be contacted via phone (386) 446-9590.Contact Information
Primary practice address
3 Pine Cone Dr Suite 104
Palm Coast FL 32137-8685
Phone: (386) 446-9590
Fax: (386) 446-2245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME63389 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 107827 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME63389 | Florida |
Profile Details
| NPI number | 1215927702 |
|---|---|
| LBN Legal business name | Kostick, Alexandra Marion Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215927702 | NPPES |
| Florida | MEDICAID | 250999700 |
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