Individual
JESSICA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 OCOEE APOPKA RD STE 40, APOPKA, FL 32703-9210
(407) 303-4190
Mailing address
2100 OCOEE APOPKA RD STE 40, APOPKA, FL 32703-9210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120195
FL
Other
Enumeration date
04/21/2025
Last updated
07/11/2025
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