Individual
MR. DEAN ERNEST EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11924 FOREST HILL BLVD # 10A-243, WELLINGTON, FL 33414-6256
(561) 693-5143
(561) 245-9150
Mailing address
5200 N FLAGLER DR, #2303, WEST PALM BEACH, FL 33407-2755
(561) 842-0156
(561) 842-0156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9109897
MEDICAL LICENSE
FL
Enumeration date
03/29/2006
Last updated
11/30/2017
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