Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alla Kostov

Individual provider Registered Nurse · NPI 1821797135

Alla Kostov is a Nurse Practitioner in Venice, Florida. Qualified in 2024, 2 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1370 E Venice Ave Ste 202
Venice, FL 34285-9084
Phone: (941) 480-0500
Fax: (941) 480-9322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11035174 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9554103 (FL)

Record details

NPI number1821797135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2023
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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