Individual
MICKEY EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 599-2700
Mailing address
1400 IRVING ST NW APT 950, WASHINGTON, DC 20010-3531
(813) 843-4793
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD049261
DC
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME169582
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
04/09/2018
Last updated
08/27/2024
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