| Doctor Name: | MR. EMMANUEL APPIADU |
| NPI Number: | 1770913444 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 9207175 |
| Business Practice Address: | 463142 Sr 200 Yulee, FL - 320975554 |
| Business Phone Number: | 9042258280 |
| Business Fax Number: | 9042258232 |
| Mailing Address: | 463142 Sr 200, YULEE |
| State: | FL |
| Postal Code: | 320975554 |
| Phone Number: | 9042258280 |
| Fax Number: | 9042258232 |
| NPI Enumeration Date: | 11/18/2013 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 9207175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |