Individual
EVANGELA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 BRIGHTON BAY BLVD NE APT 7308, SAINT PETERSBURG, FL 33716-3496
(727) 564-7769
(727) 800-5144
Mailing address
10800 BRIGHTON BAY BLVD NE APT 7308, SAINT PETERSBURG, FL 33716-3496
(727) 564-7769
(727) 800-5144
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
17438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80-0871218
—
FL
Enumeration date
12/21/2017
Last updated
12/21/2017
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