Jason Evans, Pa

LBN: Jason Evans, Pa
Jason Evans, Pa is an health care organization with primary practice located at 4750 N Federal Hwy Suite 202, Ft Lauderdale FL 33308-4609. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Jason Evans, Pa can be contacted via phone (954) 776-0200, or through Evans, Jason Anthony via phone (954) 776-0200.

Contact Information

Primary practice address
4750 N Federal Hwy Suite 202 Ft Lauderdale FL 33308-4609
Phone: (954) 776-0200
Fax: (954) 776-8475
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jason Anthony Doctor of Podiatric Medicine (DPM)
Phone: (954) 776-0200

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 2835 Florida

Profile Details

NPI number 1871639104
LBN Legal business name Jason Evans, Pa
DBA Doing business as
Authorized official Evans, Jason Anthony Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 11th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871639104 NPPES
Florida Other AA746 MEDICARE GROUP NUMBER

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