Individual
KENNETH RODRIGUEZ EMMANUELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 N MAITLAND AVE, MAITLAND, FL 32751-4422
(407) 629-0168
Mailing address
635 N MAITLAND AVE, MAITLAND, FL 32751-4422
(407) 629-0168
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME115710
FL
Other
Enumeration date
11/13/2013
Last updated
07/19/2016
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