Provider Demographics
NPI:1982637856
Name:NAU, EMMANUEL L (MD)
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:L
Last Name:NAU
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 1:1706 E SEMORAN BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5610
Mailing Address - Country:US
Mailing Address - Phone:407-880-0800
Mailing Address - Fax:407-880-0808
Practice Address - Street 1:1706 E SEMORAN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5610
Practice Address - Country:US
Practice Address - Phone:407-880-0800
Practice Address - Fax:407-880-0808
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48249207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044253400Medicaid
FLD60904Medicare UPIN
FL044253400Medicaid