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Jessica Costakes, PT
NPI 1992814545 · on the registry since 2006
Practice
- Address
- 190 Southpark Blvd
Suite 100
St Augustine, FL 32086 - Phone
- (904) 824-1478
- Organisation at this address
- East Central Florida Outpatient Imaging, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Sex
- Female
- Record last updated
- 2008-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida