# SHELLY EVANS DC INC

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

## Provider details

- **NPI number:** 1972759454
- **Authorized official:** DR. SHELLY LYNN EVANS D.C. (OWNER/PRESIDENT)
- **Authorized official phone:** (813) 404-7619

## Contact information

- **Practice address:** 6800 N DALE MABRY HWY STE 120, TAMPA, FL 33614-3959
- **Practice address phone:** (813) 404-7619
- **Mailing address:** 6800 N DALE MABRY HWY STE 120, TAMPA, FL 33614-3959
- **Mailing address phone:** (813) 404-7619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CH7587 | FL | Yes |

## Other

- **Enumeration date:** 08/15/2008
- **Last updated:** 08/15/2008