Organization
EVANS FAMILY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOC KIM LE M.D. (PRESIDENT)
(407) 532-4615
Entity
Organization
Contact information
Practice address
5026 SILVER STAR RD, ORLANDO, FL 32808-4545
(407) 532-4615
(407) 532-4686
Mailing address
5026 SILVER STAR RD, ORLANDO, FL 32808-4545
(407) 532-4615
(407) 532-4686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
10/04/2007
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