Individual
EMMANUEL BADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9552435
FL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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