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Individual
EMMANUEL CIVIL
Active
Individual
EMMANUEL CIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9654074
FL
246ZC0007X
Surgical Assistant
17-460
FL
363A00000X
Physician Assistant
Primary
000263-P.A
PR
363L00000X
Nurse Practitioner
8591
AZ
363LF0000X
Family Nurse Practitioner
Primary
118625-23
NH
Other
Enumeration date
09/28/2017
Last updated
08/08/2026
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