Individual
MR. BOYD D EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12276 SAN JOSE BLVD STE 617, JACKSONVILLE, FL 32223-8672
(904) 262-9075
(904) 262-9076
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME89795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29493
BCBS
FL
01
—
298353
AVMED
FL
01
—
301810
HEALTHEASE
FL
01
—
4881981
CIGNA
FL
01
—
7213790
AETNA
FL
Enumeration date
12/07/2005
Last updated
01/03/2024
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