Individual
EMILY C OSE
Active
Individual
EMILY C OSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008485200
—
FL
01
—
PA9105762
MEDICAL LICENSE
FL
Enumeration date
04/11/2011
Last updated
02/04/2025
Update your record
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