Boynton, Evander A

Boynton, Evander A is an individual health care provider with primary practice located at 1125 Bartow Rd Suite 101, Lakeland FL 33801-5852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boynton, Evander A can be contacted via phone (863) 683-7171.

Contact Information

Primary practice address
1125 Bartow Rd Suite 101 Lakeland FL 33801-5852
Phone: (863) 683-7171
Fax: (863) 687-0742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME-0089123 Florida

Profile Details

NPI number 1760459770
LBN Legal business name Boynton, Evander A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760459770 NPPES
Florida MEDICAID 269082900

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