Individual
MR. EVAN GAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
950 NW 20TH ST, MIAMI, FL 33127-4622
(305) 237-4141
Mailing address
802 MINNESOTA ST, LANTANA, FL 33462-2706
(561) 254-8527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10858
NC
Other
Enumeration date
08/18/2020
Last updated
12/21/2020
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