Individual
VICKY EMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10025 E COLONIAL DR, ORLANDO, FL 32817-4329
(407) 382-4218
Mailing address
10025 E COLONIAL DR, ORLANDO, FL 32817-4329
(407) 382-4218
(407) 380-3228
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
PA9117075
FL
Other
Enumeration date
05/09/2023
Last updated
04/26/2024
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