Mack, Evelyn Gil

Mack, Evelyn Gil is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd Rt117, Tampa FL 33612-4745. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Mack, Evelyn Gil can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Rt117 Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 978-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1427095181
LBN Legal business name Mack, Evelyn Gil
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1427095181 NPPES
Other 39257 NATIONAL CERTIFICATION

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