Provider Demographics
NPI:1154390904
Name:ESENER, EMEL (MD)
Entity type:Individual
Prefix:DR
First Name:EMEL
Middle Name:
Last Name:ESENER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21754 CLUB VILLA TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3703
Mailing Address - Country:US
Mailing Address - Phone:561-417-7468
Mailing Address - Fax:
Practice Address - Street 1:901 MEADOWS RD
Practice Address - Street 2:SUITE C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2331
Practice Address - Country:US
Practice Address - Phone:561-416-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF42408Medicare UPIN