Iku Marketing, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IKU MARKETING, LLC

Doing business as

Gemini Health Products & Supplies

Practice address

1488 SE Village Green Dr
Port Saint Lucie, FL 34952-3411

Phone

(772) 777-4745

Fax

(772) 777-4833

NPI assigned

Nov 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liliya Heretsun-Roussonicolos

Title

President

Phone

(772) 777-4745

Specialties & licenses 1

Addresses

Other names 1

• Gemini Health Products & Supplies Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1386245322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 SE VILLAGE GREEN DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523411",
            "telephone_number": "772-777-4745",
            "fax_number": "772-777-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 SE VILLAGE GREEN DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523411",
            "telephone_number": "772-777-4745",
            "fax_number": "772-777-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKU MARKETING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "HERETSUN-ROUSSONICOLOS",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-777-4745"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gemini Health Products & Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gemini Health Products & Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.