Organization
EVOLUTION HEALTH MANAGEMENT, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSEL RAMON MORENO (PRESIDENT)
(786) 247-6770
Entity
Organization
Contact information
Practice address
11077 BISCAYNE BLVD STE 402, MIAMI, FL 33161-7481
(786) 247-6770
Mailing address
11077 BISCAYNE BLVD STE 402, MIAMI, FL 33161-7481
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
01/10/2022
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