Individual
EMORY HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 401B, SAINT AUGUSTINE, FL 32080-3118
(904) 460-0306
Mailing address
1301 PLANTATION ISLAND DR S STE 401B, SAINT AUGUSTINE, FL 32080-3118
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS5306
DOH FLORIDA
FL
Enumeration date
02/21/2019
Last updated
02/21/2019
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