Individual
RAYMOND M. EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME102748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011047 00
—
FL
01
—
145J7
BLUECROSS BLUESHIELD
FL
Enumeration date
08/20/2006
Last updated
03/13/2026
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