Individual
DR. EMILY ARLENE VIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
85035 WILSON NECK RD, YULEE, FL 32097-4793
(904) 557-8197
Mailing address
85035 WILSON NECK RD, YULEE, FL 32097-4793
(904) 557-8197
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623334B
—
GA
Enumeration date
10/06/2006
Last updated
03/25/2014
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