Individual
DORIS EMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12230 W FOREST HILL BLVD, STE 182, WELLINGTON, FL 33414-5700
(561) 798-4221
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9216675
FL
Other
Enumeration date
07/24/2006
Last updated
10/25/2007
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