Individual
EVANDER A BOYNTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 BARTOW RD, SUITE 101, LAKELAND, FL 33801-5852
(863) 683-7171
(863) 687-0742
Mailing address
1125 BARTOW RD, SUITE 101, LAKELAND, FL 33801-5852
(863) 683-7171
(863) 687-0742
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME-0089123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269082900
—
FL
Enumeration date
03/08/2006
Last updated
08/08/2025
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