Individual
DR. WINSTON E EVALLE
Active
Individual
DR. WINSTON E EVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME80483
FL
207R00000X
Internal Medicine Physician
ME80483
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME80483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259469200
—
FL
01
—
58634
BC/BS
FL
01
—
P00061439
RR MEDICARE
FL
Enumeration date
08/11/2006
Last updated
12/13/2013
Update your record
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