Individual
DR. JASON ANTHONY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2800 E COMMERCIAL BLVD, SUITE 207, FORT LAUDERDALE, FL 33308-4229
(954) 776-5700
(954) 776-5701
Mailing address
2800 E COMMERCIAL BLVD, SUITE 207, FORT LAUDERDALE, FL 33308-4229
(954) 776-5700
(954) 776-5701
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340316500
—
FL
Enumeration date
10/19/2005
Last updated
05/21/2016
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