Provider Demographics
NPI:1396290938
Name:AKEMI BORJAS LLC
Entity type:Organization
Organization Name:AKEMI BORJAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KORAHAIS
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:352-870-4194
Mailing Address - Street 1:5109 NW 39TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7212
Mailing Address - Country:US
Mailing Address - Phone:352-327-4023
Mailing Address - Fax:
Practice Address - Street 1:5109 NW 39TH AVE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7212
Practice Address - Country:US
Practice Address - Phone:352-327-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty