Organization
EVENHUIS CARDIOLOGY & INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTHER R EVENHUIS M. D. (PRESIDENT)
(239) 262-5770
Entity
Organization
Contact information
Practice address
1351 PINE ST, NAPLES, FL 34104-4260
(239) 262-5770
Mailing address
PO BOX 12018, NAPLES, FL 34101-2018
(239) 262-5770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80066
FL
207RC0000X
Cardiovascular Disease Physician
Primary
80066
FL
Other
Enumeration date
01/18/2007
Last updated
12/10/2007
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