MEDICARE: STACY-ANN MELISSA EMMANUEL

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	225200000X	Physical Therapy Assistant	22335	FL

General Provider Information

NPI Number	:	1770855421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY-ANN MELISSA EMMANUEL

Provider Business Mailing Address
First Line	:	4850 W OAKLAND PARK BLVD STE 201
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-735-1035
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 W OAKLAND PARK BLVD STE 201
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-735-1035
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

Similar Medicare Providers

1114771797 — FLORIDAS TREATMENT CENTER
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 102
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-380-0714
Practice Fax: 877-977-5142

1356344493 — DR. HUMAIRA V KHAN MD
Practice Location Address:

4850 W OAKLAND PARK BLVD , STE 132
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-486-8663
Practice Fax: 954-486-8979

1184664682 — MRS. NANCY NANETTE TIENHAARA M.S, ATC L, EMT
Practice Location Address:

4850 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-731-7440
Practice Fax: 954-731-7675

1679870877 — FLORIDA WOMAN CARE, LLC
Practice Location Address:

4850 W OAKLAND PARK BLVD , SUITE 118
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-485-1511
Practice Fax: 954-739-7948

1548559834 — DR. MICHAEL C KINDYA M.D.
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-3535
Practice Fax: 954-484-7000

1063754455 — ISAAC BURDEINICK APRN
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-3535
Practice Fax: 954-484-7000

Directions to “ STACY-ANN MELISSA EMMANUEL ” 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.