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EMILY CLEMENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2350 VANDERBILT BEACH RD, SUITE 201, NAPLES, FL 34109-2760
(239) 348-4098
(239) 596-2355
Mailing address
PO BOX 402365, ATLANTA, GA 30384-2365
(866) 391-6826
(239) 596-2355

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FLOS10308
FL
207VG0400X
Gynecology Physician
5101016111
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL543X
MEDICARE PTAN
FL
Enumeration date
05/24/2007
Last updated
06/21/2012
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