Provider Demographics
NPI:1972513109
Name:ARSENAULT, EMILY F (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:F
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8926 77TH TER E
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-6417
Mailing Address - Country:US
Mailing Address - Phone:941-907-0222
Mailing Address - Fax:941-907-0493
Practice Address - Street 1:8374 MARKET ST
Practice Address - Street 2:# 402
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5137
Practice Address - Country:US
Practice Address - Phone:941-907-0222
Practice Address - Fax:941-907-0493
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-04-11
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Provider Licenses
StateLicense IDTaxonomies
FLME87116207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH61103Medicare UPIN