MEDICARE: EMILY BUCKEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	PTA30105	FL

General Provider Information

NPI Number	:	1194312462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BUCKEL

Provider Business Mailing Address
First Line	:	419 W CRESCENT DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-1814
Country	:	US
Telephone Number	:	407-712-4994
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 W CRESCENT DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-1814
Country	:	US
Telephone Number	:	407-712-4994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

Similar Medicare Providers

1013912542 — MRS. DEBORAH LYNN RENEGAR ARNP-C
Practice Location Address:

4523 HALLAMVIEW LN
LAKELAND, FL
33813-1814

Practice Phone: 863-284-5941
Practice Fax:

1275062358 — JEAN PAUL TAVERAS DMD
Practice Location Address:

1251 ARIANA ST
LAKELAND, FL
33803-1814

Practice Phone: 813-420-1950
Practice Fax:

1134853419 — SHANITTA KENYETTA GRIMSLEY HOME CARE LLC
Practice Location Address:

1227 ARIANA ST
LAKELAND, FL
33803-1814

Practice Phone: 813-638-3463
Practice Fax:

1407542004 — MAE ONER
Practice Location Address:

506 E PARKER ST
LAKELAND, FL
33801-1814

Practice Phone: 863-210-3472
Practice Fax:

1649543992 — RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Practice Location Address:

1305 LAKELAND HILLS BLVD
LAKELAND, FL
33805-4542

Practice Phone: 863-688-2334
Practice Fax: 706-653-1230

1578238317 — RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Practice Location Address:

1324 LAKELAND HILLS BLVD
LAKELAND, FL
33805-4543

Practice Phone: 863-688-2334
Practice Fax: 706-653-1230

Directions to “ EMILY BUCKEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.