Evans, Morris C

Evans, Morris C is an individual health care provider with primary practice located at 3262 Vineland Rd Suite 102, Kissimmee FL 34746-4839. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Evans, Morris C can be contacted via phone (866) 422-7367.

Contact Information

Primary practice address
3262 Vineland Rd Suite 102 Kissimmee FL 34746-4839
Phone: (866) 422-7367
Fax: (407) 809-5243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9102232 Florida

Profile Details

NPI number 1003839531
LBN Legal business name Evans, Morris C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 14th, 2012 - about 14 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 1003839531 NPPES
Florida MEDICAID 292604100

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