Individual
MR. EVANS LOUIS ROBERTS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 MEADOWS ROAD, BOCA RATON, FL 33486-2304
(561) 955-7100
Mailing address
PO BOX 63069, NORTH CHARLESTON, SC 29419-3069
(561) 955-7100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME132844
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
10/30/2018
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