Individual
MRS. GINA MARIE EMANUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(603) 566-3844
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(603) 566-3844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
10/28/2024
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