Individual
DR. KENNETH MICHAEL EMANUELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1619 DEL PRADO BLVD S, VISION CENTER, CAPE CORAL, FL 33990-3713
(239) 772-5115
Mailing address
595 PECK AVE, FORT MYERS, FL 33919-3121
(239) 772-5115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0003000
FL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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