Individual
GERRY F. EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E ROBINSON ST, SUITE 130, ORLANDO, FL 32801-4322
(407) 581-9180
(865) 560-7066
Mailing address
340 GARDEN LN, ATLANTIC BEACH, FL 32233-4522
(209) 417-7666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C38755
CA
207L00000X
Anesthesiology Physician
Primary
ME113870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C387550
—
CA
Enumeration date
05/25/2006
Last updated
03/02/2017
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