Michaelson, Evan Miller

Michaelson, Evan Miller is an individual health care provider with primary practice located at 45 Groover Loop , St Augustine FL 32086-6548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Michaelson, Evan Miller can be contacted via phone (903) 634-0640.

Contact Information

Primary practice address
45 Groover Loop St Augustine FL 32086-6548
Phone: (903) 634-0640
Fax: (904) 634-0203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0101580 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME181577 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D0101580 Maryland

Profile Details

NPI number 1104323286
LBN Legal business name Michaelson, Evan Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2018
Last updated Aug 27th, 2026 - about 3 months 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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