Healthcare Provider Details

I. General information

NPI: 1508561069
Provider Name (Legal Business Name): EMC FOR YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3864 LONG BRANCH LN
APOPKA FL
32712-4790
US

IV. Provider business mailing address

3864 LONG BRANCH LN
APOPKA FL
32712-4790
US

V. Phone/Fax

Practice location:
  • Phone: 407-310-8770
  • Fax:
Mailing address:
  • Phone: 407-467-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD NAU
Title or Position: NURSE PRACTITIONER
Credential: APRN/MSN
Phone: 407-310-8770