Individual
MR. CHOOKIERT EMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 NORTH LOVE STREET, QUINCY, FL 32351
(850) 627-9563
(850) 875-2992
Mailing address
21 NORTH LOVE STREET, QUINCY, FL 32351
(850) 627-9563
(850) 875-2992
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0022076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME0022076
—
FL
Enumeration date
10/05/2006
Last updated
07/08/2007
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