Evans, Jason Anthony
Evans, Jason Anthony is an sole proprietor health care provider with primary practice located at 2800 E Commercial Blvd Suite 207, Fort Lauderdale FL 33308-4229. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Evans, Jason Anthony can be contacted via phone (954) 776-5700.Contact Information
Primary practice address
2800 E Commercial Blvd Suite 207
Fort Lauderdale FL 33308-4229
Phone: (954) 776-5700
Fax: (954) 776-5701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2835 | Florida |
Profile Details
NPI number | 1093704306 |
---|---|
LBN Legal business name | Evans, Jason Anthony |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 19th, 2005 |
Last updated | May 21st, 2016 - about 8 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 | 1093704306 | NPPES |
Florida | MEDICAID | 340316500 |
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