# EVALUMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013889369
- **Authorized official:** OLGA PETROVA (MANAGER)
- **Authorized official phone:** (321) 888-0733

## Contact information

- **Practice address:** 4131 UNIVERSITY BLVD S STE 13, JACKSONVILLE, FL 32216-4346
- **Practice address phone:** (321) 888-0733
- **Mailing address:** 4131 UNIVERSITY BLVD S STE 13, JACKSONVILLE, FL 32216-4346
- **Mailing address phone:** (321) 888-0733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2025
- **Last updated:** 09/18/2025