Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 21687 | FL |
NPI | 1164874962 |
---|---|
Provider Name | Elizabeta Cokovska |
First Address | Winter Springs, FL 32708-4853 |
Second Address | Palm Coast, FL 32164-2596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2016 |
Last Update Date | 06/07/2016 |