Evans, Judith L
Evans, Judith L is an sole proprietor health care provider with primary practice located at 2350 Sunset Point Rd Suite C, Clearwater FL 33765-1443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Evans, Judith L can be contacted via phone (727) 797-3155.Contact Information
Primary practice address
2350 Sunset Point Rd Suite C
Clearwater FL 33765-1443
Phone: (727) 797-3155
Fax: (727) 797-4301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS4543 | Florida |
Profile Details
| NPI number | 1487652467 |
|---|---|
| LBN Legal business name | Evans, Judith L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jan 10th, 2015 - about 10 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 | 1487652467 | NPPES |
| Florida | MEDICAID | 054114100 |
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