Evans, Corey H

Evans, Corey H is an individual health care provider with primary practice located at 1201 5Th Ave N Suite 408, St Petersburg FL 33705-1425. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evans, Corey H can be contacted via phone (727) 894-3733.

Contact Information

Primary practice address
1201 5Th Ave N Suite 408 St Petersburg FL 33705-1425
Phone: (727) 894-3733
Fax: (727) 825-1482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0046419 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME0046419 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME0046419 Florida

Profile Details

NPI number 1790891182
LBN Legal business name Evans, Corey H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 1st, 2013 - about 12 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 1790891182 NPPES
Florida MEDICAID 003899900
Florida Other P01205976

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