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Individual

WADEN EVERETT EMERY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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
04/19/2006
Last updated
12/10/2009
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