Organization
DR. GEORGE EMANOILIDIS EPIC SERVICES PA
Active
Other names
Dr. George Emanoilidis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE EMANOILIDIS PSY.D. (OWNER/LICENSED PSYCHOLOGIST)
(863) 243-3198
Entity
Organization
Contact information
Practice address
21 RYANT BLVD, SUITE 21, SEBRING, FL 33870-8075
(863) 243-3198
Mailing address
21 RYANT BLVD, SUITE 21, SEBRING, FL 33870-8075
(863) 243-3198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8561
FL
103TF0200X
Forensic Psychologist
PY8561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GN537A
MEDICARE PTAN
FL
Enumeration date
08/24/2016
Last updated
08/24/2016
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