RONALD VICTOR EMMANUEL NPI 1053044081

NPI Information

  • NPI: 1053044081
  • Provider Name: RONALD VICTOR EMMANUEL
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4302 W BROWARD BLVD
    PLANTATION, FL
    ZIP 33317
  • Phone: (954) 644-8902

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NPI Details

Ronald Victor Emmanuel is a gerontology nurse practitioner in Plantation, FL with 4 years of experience. Ronald Victor Emmanuel NPI is 1053044081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

4302 W BROWARD BLVD
PLANTATION, FL
ZIP 33317-780
Phone: (954) 644-8902
Fax: (877) 967-5710

The NPI 1053044081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2022 and was last updated on 7/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAPRN11016116FLORIDANo
2363LP2300XNurse PractitionerPrimary Care11016116FLORIDANo
3364SA2200XClinical Nurse SpecialistAdult Health11016116FLORIDANo
4363LG0600XNurse PractitionerGerontology11016116FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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