Organization
WADEN E EMERY III M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADEN EVERETT EMERY III M.D. (PRESIDENT)
(954) 771-8300
Entity
Organization
Contact information
Practice address
5340 N FEDERAL HWY, SUITE 205, LIGHTHOUSE POINT, FL 33064-7058
(954) 771-8300
(954) 771-4002
Mailing address
5340 N FEDERAL HWY, SUITE 205, LIGHTHOUSE POINT, FL 33064-7058
(954) 771-8300
(954) 771-4002
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME45215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049128400
—
FL
Enumeration date
05/22/2008
Last updated
06/19/2008
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