Individual ProviderBela Alex KosztaczkyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address350 7th St N, Naples, FL 34102-5754(239) 436-5000(423) 470-1615PECOS EnrollmentBased on the most recent information from CMS, provider Bela Alex Kosztaczky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881748168Provider TypeIndividualFull NameKosztaczky, Bela AlexCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/23/2007Last Updated1/19/2011Contact InformationPractice LocationPractice Address350 7th St N, Naples, FL 34102-5754Phone(239) 436-5000FaxUnlisted FaxMailing LocationMailing Address104 Fiesta Dr, Ormond Beach, FL 32174-4964Phone(423) 470-1615FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME80777FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD0000027776Tennessee