Dorval, Michel Evans

Dorval, Michel Evans is an individual health care provider with primary practice located at 1200 Ne 125Th St , North Miami FL 33161-5936. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dorval, Michel Evans can be contacted via phone (305) 685-5688.

Contact Information

Primary practice address
1200 Ne 125Th St North Miami FL 33161-5936
Phone: (305) 685-5688
Fax: (305) 891-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9101758 Florida

Profile Details

NPI number 1891784179
LBN Legal business name Dorval, Michel Evans
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 8th, 2020 - about 6 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 1891784179 NPPES
Florida MEDICAID 009220100

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