Individual
MRS. ANGELA R EVANS LACERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
625 6TH AVE S STE 385, ST PETERSBURG, FL 33701-4665
(727) 553-7100
(727) 553-7198
Mailing address
625 6TH AVE S STE 385, ST PETERSBURG, FL 33701-4665
(727) 553-7100
(727) 553-7198
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S00C5
FLORIDA BLUE
FL
Enumeration date
03/12/2007
Last updated
03/01/2022
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