Individual
EVELYN FRANCES OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1846 HIGHWAY 1 STE B, ROCKLEDGE, FL 32955-2822
(321) 434-9564
(321) 434-7078
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9564
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002476700
—
FL
01
—
E0441W
FL HF MEDICARE
FL
Enumeration date
07/16/2010
Last updated
12/05/2024
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