Individual
MS. EMILY R MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, OTC
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 320, TAMPA, FL 33607-6383
(813) 877-6748
(813) 875-0359
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD STE 320, TAMPA, FL 33607-6055
(813) 877-6748
(813) 875-0359
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
AL 3279
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9110070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020042700
—
FL
Enumeration date
11/23/2016
Last updated
04/12/2023
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