Geraldine Emanuel (NPI# 1023065083, PAC ID# 5799736740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023065083 |
| PAC ID by PECOS | 5799736740 |
| Professional Enrollment ID | I20050207000776 |
| Full Name | Geraldine Emanuel |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
264 Nw Peacock Blvd St Lucie West FL 34986-2272 |
| Phone Number | 7723232321 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 264 Nw Peacock Blvd, St Lucie West, FL 34986-2272 | 7723232321 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
264 NW PEACOCK BLVD |
| City | ST LUCIE WEST |
| State | FL |
| Zip | 34986-2272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delvis A Celdran | Neurology | 543 Nw Lake Whitney Place, Unit 105, Port St Lucie, FL 34986-1604 | |
| Spencer D Lee | Plastic and Reconstructive Surgery | 525 Nw Lake Whitney Pl, Suite 206, Port St Lucie, FL 34986-1605 | |
| Jad P Mahfood | Rheumatology | 549 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1606 | |
| Grace H Yoo | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Gerald A Ross | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Bambi C Petrinic | Family Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Nestor Lacayo | Family Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Kelley Marie Turco | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Ernesto Porras Polo | Internal Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Katherine J Jones | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Find all physicians in zip 34986 | |||
| City | ST LUCIE WEST |
| Zip Code | 34986 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST LUCIE WEST + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.