Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronald Victor Emmanuel

Individual provider Nurse Practitioner · NPI 1053044081

Ronald Victor Emmanuel is a Nurse Practitioner in Plantation, Florida. Graduated from Florida International Univ, College of Medicine in 2021, 5 years ago. Practices with Claremedica Viking LLC, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Florida International Univ, College of Medicine
Licensed in
FL
In the registry since
2022
Specialties on file
4

Practice location Address checks out

4302 W Broward Blvd
Plantation, FL 33317-3780
Phone: (954) 644-8902
Fax: (877) 967-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4306 W Broward Blvd, Plantation, FL 33317-3752 — (954) 644-8902

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11016116 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11016116 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 11016116 (FL)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence 11016116 (FL)

Record details

NPI number1053044081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 11, 2024
Certification dateJune 4, 2024
Mailing address1000 Nw 57th Ct Ste 400, Miami, FL 33126-3292

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Claremedica Viking Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plantation