Provider Demographics
NPI:1164874962
Name:COKOVSKA, ELIZABETA (DMD; PROSTHODONTIST)
Entity Type:Individual
Prefix:
First Name:ELIZABETA
Middle Name:
Last Name:COKOVSKA
Suffix:
Gender:F
Credentials:DMD; PROSTHODONTIST
Other - Prefix:
Other - First Name:ELIZABETA
Other - Middle Name:
Other - Last Name:COCEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1391 CHAPARRAL LN
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4853
Mailing Address - Country:US
Mailing Address - Phone:407-965-9967
Mailing Address - Fax:
Practice Address - Street 1:180 PINNACLES DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2596
Practice Address - Country:US
Practice Address - Phone:386-437-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL216871223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics