Organization
EVOLUTION MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN KRAMP DPT (MANAGER)
(727) 216-3492
Entity
Organization
Contact information
Practice address
604 DRUID RD E, CLEARWATER, FL 33756-3912
(727) 365-5126
Mailing address
12454 81ST CT, SEMINOLE, FL 33772-4409
(727) 365-5126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
10/08/2019
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