Cloud, Evelyn M

Cloud, Evelyn M is an individual health care provider with primary practice located at 8211 Mar Del Plata St E , Jacksonville FL 32256-7349. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Cloud, Evelyn M can be contacted via phone (904) 388-4561.

Contact Information

Primary practice address
8211 Mar Del Plata St E Jacksonville FL 32256-7349
Phone: (904) 388-4561
Fax: (904) 620-9748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1367 Florida

Profile Details

NPI number 1902860281
LBN Legal business name Cloud, Evelyn M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 7th, 2021 - about 3 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 1902860281 NPPES
Florida Other 480001452 MEDICARE RAILROAD
Florida MEDICAID 041331300 MEDICARE RAILROAD

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