Individual
JUSTIN BRUCE EMTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 STRATHY LN, WINTER PARK, FL 32792-4133
(407) 628-3073
Mailing address
218 STRATHY LN, WINTER PARK, FL 32792-4133
(407) 628-3073
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME133329
FL
Other
Enumeration date
03/30/2011
Last updated
07/21/2022
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