Healthcare Provider Details

I. General information

NPI: 1669030037
Provider Name (Legal Business Name): MAKRIS DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13250 NARCOOSSEE ROAD
ORLANDO FL
32827
US

IV. Provider business mailing address

1391 CHAPARRAL LN
WINTER SPRINGS FL
32708-4853
US

V. Phone/Fax

Practice location:
  • Phone: 407-965-9967
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETA COKOVSKA
Title or Position: MANAGER
Credential: DMD. PROSTHODONTIST
Phone: 407-965-9967