Provider Demographics
NPI:1356522924
Name:MULLINGS, EMMALINE SARAH (LMT)
Entity type:Individual
Prefix:MRS
First Name:EMMALINE
Middle Name:SARAH
Last Name:MULLINGS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0632
Mailing Address - Country:US
Mailing Address - Phone:352-867-8083
Mailing Address - Fax:352-867-8382
Practice Address - Street 1:424 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0632
Practice Address - Country:US
Practice Address - Phone:352-867-8083
Practice Address - Fax:352-867-8382
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA25880225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL#C8066OtherBLUE CROSS BLUE SHIELD