Provider Demographics
NPI:1184003675
Name:ARMSTRONG, EMILY (DOM, AP)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6911
Mailing Address - Country:US
Mailing Address - Phone:727-564-7208
Mailing Address - Fax:
Practice Address - Street 1:2941 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-6703
Practice Address - Country:US
Practice Address - Phone:727-321-6969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist