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Individual

LILLIAN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 966-8000
(954) 966-6614
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 966-8000
(954) 966-6614

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58310
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373552400
FL
Enumeration date
10/05/2005
Last updated
10/04/2013
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