Individual
EMMANUEL LOUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 S STATE ROAD 7, WELLINGTON, FL 33414-4338
(561) 693-0540
Mailing address
2845 PGA BLVD, PALM BEACH GARDENS, FL 33410-2910
(561) 693-0540
(561) 422-4212
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
199503
NY
207N00000X
Dermatology Physician
Primary
ME143732
FL
Other
Enumeration date
08/12/2005
Last updated
01/28/2021
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