Individual
DR. EVELYN R BAEZ-ROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1799 SALK AVE, TAVARES, FL 32778-4311
(352) 742-8300
(352) 742-8305
Mailing address
36203 LAKE UNITY NURSERY RD, FRUITLAND PARK, FL 34731-5818
(352) 323-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59515
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
12/13/2006
Last updated
07/08/2007
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