Individual
ANNIE EMMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036094762
IL
208000000X
Pediatrics Physician
Primary
ME163962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119691900
—
FL
01
—
2E85E
FL BCBS
FL
Enumeration date
07/07/2005
Last updated
11/21/2023
Update your record
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