Individual
ENMANUEL THEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 558-2500
Mailing address
839 ZEEK RIDGE CT, CLERMONT, FL 34715-0055
(914) 280-8781
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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