Individual
EVAN LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10141 BIG BEND RD STE 103, RIVERVIEW, FL 33578-7421
(813) 302-8740
(813) 605-8740
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS16912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107285900
—
FL
Enumeration date
04/10/2017
Last updated
08/19/2024
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