Provider Demographics
NPI:1366842049
Name:EMILCAR, ALINE
Entity Type:Individual
Prefix:
First Name:ALINE
Middle Name:
Last Name:EMILCAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S 20TH ST
Mailing Address - Street 2:APT B
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-5414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 S 20TH ST
Practice Address - Street 2:APT B
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-5414
Practice Address - Country:US
Practice Address - Phone:863-224-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide