Evans, Theo

Evans, Theo is an individual health care provider with primary practice located at 1321 Citizens Blvd Ste C , Leesburg FL 34748-3946. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Evans, Theo can be contacted via phone (352) 702-3727.

Contact Information

Primary practice address
1321 Citizens Blvd Ste C Leesburg FL 34748-3946
Phone: (352) 702-3727
Fax: (888) 650-5089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518738269
LBN Legal business name Evans, Theo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2024
Last updated Jan 11th, 2024 - about 8 months 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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