Provider Demographics
NPI:1598759532
Name:NAVAL, EMMANUEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:D
Last Name:NAVAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 ZEMKE AVENUE
Mailing Address - Street 2:6 AMDS/SGPF
Mailing Address - City:MACDILL AFB
Mailing Address - State:FL
Mailing Address - Zip Code:33621-5202
Mailing Address - Country:US
Mailing Address - Phone:813-827-9805
Mailing Address - Fax:
Practice Address - Street 1:3250 ZEMKE AVE
Practice Address - Street 2:
Practice Address - City:MACDILL AFB
Practice Address - State:FL
Practice Address - Zip Code:33621-5202
Practice Address - Country:US
Practice Address - Phone:813-827-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01035191A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice