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Individual

DR. PAUL JOHN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90771
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01229
BC/BS
FL
01
0733537
CIGNA
05
272204600
FL
01
287091
STAYWELL/HEALTHEASE
01
297317
AVMED
01
4122038
AETNA
Enumeration date
12/20/2005
Last updated
04/07/2022
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