Provider Demographics
NPI:1639460645
Name:GEKOFF, LUCIANA (AP)
Entity type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:GEKOFF
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 BRICKELL AVE APT C613
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1783
Mailing Address - Country:US
Mailing Address - Phone:305-776-0676
Mailing Address - Fax:
Practice Address - Street 1:1915 BRICKELL AVE APT C613
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1783
Practice Address - Country:US
Practice Address - Phone:305-776-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2823171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist