Provider Demographics
NPI:1164965182
Name:EMILE, MARTINE A (FAMILY ARNP)
Entity Type:Individual
Prefix:
First Name:MARTINE
Middle Name:A
Last Name:EMILE
Suffix:
Gender:F
Credentials:FAMILY ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E SAMPLE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4443
Mailing Address - Country:US
Mailing Address - Phone:954-783-5151
Mailing Address - Fax:954-783-0219
Practice Address - Street 1:601 E SAMPLE RD STE 110
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4443
Practice Address - Country:US
Practice Address - Phone:954-783-5151
Practice Address - Fax:954-783-0219
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9183244363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care