Individual
MR. EMAD ELMUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5156
(904) 639-2000
Mailing address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036171513
IL
207R00000X
Internal Medicine Physician
E45221390209
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2021
Last updated
10/09/2024
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