Individual
EDUARDO EVORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4118 W 12TH AVE, HIALEAH, FL 33012-4107
(305) 824-8787
(305) 824-8774
Mailing address
13121 NW 7TH TER, MIAMI, FL 33182-2358
(305) 824-8787
(305) 824-8774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
FL
Enumeration date
06/22/2016
Last updated
06/22/2016
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