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Individual

EMMANUELLA THEUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1240 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
(305) 688-7995
Mailing address
7200 CORPORATE CENTER DR, SUITE 600, MIAMI, FL 33126-1200
(305) 500-2000
(305) 500-2080

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME057382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051295800
FL
Enumeration date
07/09/2006
Last updated
10/11/2019
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