Individual
EMILY BUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W CRESCENT DR, LAKELAND, FL 33805-1814
(407) 712-4994
Mailing address
419 W CRESCENT DR, LAKELAND, FL 33805-1814
(407) 712-4994
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA30105
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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