Individual
DALLAS LAMAR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6550 N WICKHAM RD, SUITE 2, MELBOURNE, FL 32940-2038
(321) 751-9506
(321) 751-9505
Mailing address
6742 RHODE ISLAND DRIVE WEST, JACKSONVILLE, FL 32209-1436
(904) 380-0346
(904) 768-1226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9175957
FL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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