Lee-Evenson, Dorothy T

Lee-Evenson, Dorothy T is an individual health care provider with primary practice located at 515 S Kings Ave Ste 3000 , Brandon FL 33511-6060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lee-Evenson, Dorothy T can be contacted via phone (813) 681-6625.

Contact Information

Primary practice address
515 S Kings Ave Ste 3000 Brandon FL 33511-6060
Phone: (813) 681-6625
Fax: (813) 684-6043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME126018 Florida

Profile Details

NPI number 1023019650
LBN Legal business name Lee-Evenson, Dorothy T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jun 22nd, 2023 - about last year

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 1023019650 NPPES
Florida Other IK163Z MEDICARE PTAN
Florida MEDICAID 016070200 MEDICARE PTAN

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