Individual
PATRICIA EMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 259-8800
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME53499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040818200
—
FL
01
—
08392
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
03/13/2025
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