Individual provider Active NPI

Emmanuel Civil, SA-C

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1093224347
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
118625-23 Issued in NH
Practice address
23237 SW 61St Ave
Boca Raton, FL 33428-2023
Phone
(561) 891-3316
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 118625-23 NH Primary
Registered Nurse 163W00000X RN9654074 FL
Nurse Practitioner 363L00000X 8591 AZ
Surgical Assistant 246ZC0007X 17-460 FL

Addresses

Primary practice location

23237 SW 61St Ave
Boca Raton, FL 33428-2023

Mailing address

23237 SW 61St Ave
Boca Raton, FL 33428-2023
Phone (561) 891-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-460FLMDSurgical Assistant
000263-P.APRMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1093224347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23237 SW 61ST AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282023",
            "telephone_number": "561-891-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23237 SW 61ST AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282023",
            "telephone_number": "561-891-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVIL",
        "first_name": "EMMANUEL",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "118625-23",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9654074",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "8591",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.