Individual
DR. EVELIO E SARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 223-4978
(772) 223-2847
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME117690
FL
207RP1001X
Pulmonary Disease Physician
ME117690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010849400
—
FL
01
—
14U8F
FLORIDA BLUE
FL
Enumeration date
02/02/2006
Last updated
11/05/2020
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