Evalle, Winston E
Evalle, Winston E is an individual health care provider with primary practice located at 3351 Wedgewood Ln , The Villages FL 32162-7181. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Evalle, Winston E can be contacted via phone (352) 259-0364.Contact Information
Primary practice address
3351 Wedgewood Ln
The Villages FL 32162-7181
Phone: (352) 259-0364
Fax: (352) 259-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME80483 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME80483 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME80483 | Florida |
Profile Details
| NPI number | 1265444202 |
|---|---|
| LBN Legal business name | Evalle, Winston E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265444202 | NPPES |
| Florida | Other | P00061439 | RR MEDICARE |
| Florida | MEDICAID | 259469200 | RR MEDICARE |
| Florida | Other | 58634 | RR MEDICARE |
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