Individual
DELIO EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
3765 SW 90TH AVE, MIRAMAR, FL 33025-7620
(305) 763-2309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
831259
NY
367500000X
Certified Registered Nurse Anesthetist
137202
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
831259
NY
367500000X
Certified Registered Nurse Anesthetist
APRN11029854
FL
Other
Enumeration date
11/21/2021
Last updated
04/17/2024
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