Individual
ANDREW DAVID EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5033 W LAUREL ST, TAMPA, FL 33607-3855
(813) 922-8939
Mailing address
555 DR MARTIN LUTHER KING JR ST S UNIT 229, ST PETERSBURG, FL 33705-1805
(727) 539-9777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113612
FL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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