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Individual

WILLIAM P. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0038033
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065714000
FL
01
15752
WELLCARE
FL
01
166642
USA MNGD. CR. PROVIDER #
FL
01
1793617-007
CIGNA PROVIDER NUMBER
FL
01
255642
AVMED PROVIDER NUMBER
FL
01
4091480
AETNA PROVIDER NUMBER
FL
01
739090
FIRST HLTH/CCN PROVIDER #
FL
01
79594
BCBS PROVIDER NUMBER
FL
01
96131
OP. ENGIN. PROVIDER #
FL
01
ME0038033
METCARE PROVIDER NUMBER
FL
Enumeration date
02/22/2006
Last updated
06/15/2016
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