Individual
DR. COREY H EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 5TH AVE N, SUITE 408, ST PETERSBURG, FL 33705-1425
(727) 894-3733
(727) 825-1482
Mailing address
PO BOX 1830, CLEARWATER, FL 33757-1830
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0046419
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME0046419
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME0046419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003899900
—
FL
01
—
P01205976
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
08/21/2006
Last updated
10/01/2013
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