Individual
ELIZABETH IRENE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7488
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7488
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101262886
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2016
Last updated
07/31/2024
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