Individual
EMMANUEL COURCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 W BROWARD BLVD # 33312, FORT LAUDERDALE, FL 33312-1640
(954) 763-3358
Mailing address
9381 E BAY HARBOR DR APT 303S, BAY HARBOR ISLANDS, FL 33154-3913
(347) 419-1687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27787
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2022
Last updated
03/21/2024
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