Individual
ARMANDO TOMAS EVORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11223 SW 129TH PL, MIAMI, FL 33186-4750
(786) 537-5519
Mailing address
11223 SW 129TH PL, MIAMI, FL 33186-4750
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA19241
FL
363LF0000X
Family Nurse Practitioner
Primary
11011041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA19241
PTA LICENSE
—
Enumeration date
10/02/2008
Last updated
01/21/2021
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