Organization
EVOYENT HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA FAIR (PRESIDENT)
(321) 282-1999
Entity
Organization
Contact information
Practice address
201 S ORANGE AVE STE 900, ORLANDO, FL 32801-5008
(321) 282-1999
Mailing address
8297 CHAMPIONS GATE BLVD # 446, CHAMPIONS GATE, FL 33896-8387
(321) 282-1999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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