Evans Lacert, Angela R

Evans Lacert, Angela R is an sole proprietor health care provider with primary practice located at 625 6Th Ave S Ste 385 , St Petersburg FL 33701-4665. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Evans Lacert, Angela R can be contacted via phone (727) 553-7100.

Contact Information

Primary practice address
625 6Th Ave S Ste 385 St Petersburg FL 33701-4665
Phone: (727) 553-7100
Fax: (727) 553-7198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY754 Florida

Profile Details

NPI number 1508998766
LBN Legal business name Evans Lacert, Angela R
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Mar 1st, 2022 - 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 1508998766 NPPES
Florida Other S00C5 FLORIDA BLUE

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