Organization
DAVID EVANS DO INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EVANS D.O. (OWNER/PHYSICIAN)
(609) 440-7386
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL 33470-9206
(561) 790-4445
(561) 790-4237
Mailing address
15642 CYPRESS PARK DR, WELLINGTON, FL 33414-6356
(609) 440-7386
(561) 225-1803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-11552
FL
Other
Enumeration date
11/01/2014
Last updated
11/01/2014
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