Individual
ALAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8980 SW 97TH AVE, MIAMI, FL 33176-1936
(305) 271-3223
Mailing address
10233 SW 120TH ST, MIAMI, FL 33176-4805
(305) 275-0052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10904
LICENSE#
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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