Individual
MARISSA EVARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 5TH ST S STE 701, ST PETERSBURG, FL 33701-4804
(727) 329-5400
Mailing address
8950 DR MLK JR ST N STE 150, ST PETERSBURG, FL 33702
(727) 329-5400
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
OS18668
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
08/12/2022
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