Individual
CODY EMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6307
(352) 273-6438
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119663300
—
FL
Enumeration date
08/31/2023
Last updated
05/06/2025
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