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Organization

DR EVELYN M CLOUD P.A.

Active
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Organization

DR EVELYN M CLOUD P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVELYN M CLOUD DPM (DOCTOR OF PODIATRIC MEDICINE)
(904) 534-3316
Entity
Organization

Contact information

Practice address
8211 MAR DEL PLATA ST E, JACKSONVILLE, FL 32256-7349
(904) 388-4561
(904) 620-9748
Mailing address
8211 MAR DEL PLATA ST E, JACKSONVILLE, FL 32256-7349
(904) 534-3316
(904) 620-9748

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
PO1367
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041331300
FL
01
480001452
MEDICARE RAILROAD
FL
Enumeration date
01/18/2008
Last updated
01/26/2023
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