Individual
DR. EKATERINA KOSTIOUKHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 JFK DR, SUITE 210, ATLANTIS, FL 33462-6607
(561) 548-1450
(561) 548-1459
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-1273
(561) 548-1572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016038202
MO
Other
Enumeration date
04/01/2013
Last updated
11/01/2016
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