Provider Demographics
NPI:1407049158
Name:KORAHAIS, AKEMI V (DOM)
Entity Type:Individual
Prefix:
First Name:AKEMI
Middle Name:V
Last Name:KORAHAIS
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:AKEMI
Other - Middle Name:V
Other - Last Name:MEEKS BORJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5127 NW 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5943
Mailing Address - Country:US
Mailing Address - Phone:352-870-4194
Mailing Address - Fax:904-592-2906
Practice Address - Street 1:5127 NW 39TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5943
Practice Address - Country:US
Practice Address - Phone:352-327-4023
Practice Address - Fax:904-592-2905
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist