Individual
MISS EMILY ANNE TEZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W HIGHWAY 98, PORT ST JOE, FL 32456-1303
(850) 227-9220
Mailing address
1014 LONG AVE, PORT SAINT JOE, FL 32456-2012
(219) 728-9540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11024016
FL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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