Most Relevant Information
Provider Data
| NPI Number: | 1003470915 |
| Provider Name: | ALICIA COST RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2019 |
| Last Updated: | 05/31/2019 |
Provider Practice Location
601 21ST ST STE 300
VERO BEACH
FL
329600860
Practice Location Phone/Fax
| Phone: | 7722423570 |
| Fax: |
Provider Mailing Location
601 21ST ST STE 300
VERO BEACH
FL
329600860
Provider Mailing Phone/Fax
| Phone: | 7722423570 |
| Fax: |