Individual
DR. EMANUEL ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 NW BETHANY DR, PORT ST LUCIE, FL 34986-3578
(772) 210-3982
Mailing address
11340 SW LYRA DR, PORT ST LUCIE, FL 34987-6420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28721
FL
Other
Enumeration date
05/15/2023
Last updated
08/19/2024
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