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Individual

MATTHEW EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
3322 TRAVELERS PALM DR, EDGEWATER, FL 32141-6514
(386) 290-0213

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9309338
FL
367500000X
Certified Registered Nurse Anesthetist
RN9309338
FL

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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