Individual
EMILY SHEENA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-8264
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
ME162759
FL
2084P0800X
Psychiatry Physician
Primary
ME162759
FL
Other
Enumeration date
05/21/2019
Last updated
01/28/2025
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