Provider Demographics
NPI:1205894425
Name:EMERICK, RONALD JR (DO)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:EMERICK
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13929 NW 166TH TER
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-8175
Mailing Address - Country:US
Mailing Address - Phone:850-559-5989
Mailing Address - Fax:850-838-2140
Practice Address - Street 1:1702 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32348-5611
Practice Address - Country:US
Practice Address - Phone:850-584-2141
Practice Address - Fax:850-838-2140
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9746208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics