Organization
JASON EVANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ANTHONY EVANS D.P.M. (PRESIDENT)
(954) 776-0200
Entity
Organization
Contact information
Practice address
4750 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL 33308-4609
(954) 776-0200
(954) 776-8475
Mailing address
4750 N FEDERAL HWY, SUITE 202, FT LAUDERDALE, FL 33308-4609
(954) 776-0200
(954) 776-8475
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA746
MEDICARE GROUP NUMBER
FL
Enumeration date
01/30/2007
Last updated
07/11/2007
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