Evan Allen Md | |
13506 Summerport Village Pkwy #413 Windermere FL 34786-7366 | |
(407) 905-4997 | |
(407) 876-9808 |
Full Name | Evan Allen Md |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 13506 Summerport Village Pkwy, Windermere, Florida |
Authorized Official Name and Position | Evan Allen (PRESIDENT OWNER) |
Authorized Official Contact | 4079054997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evan Allen Md Po Box 741240 Orange City FL 32774-1240 Ph: (386) 774-5211 | Evan Allen Md 13506 Summerport Village Pkwy #413 Windermere FL 34786-7366 Ph: (407) 905-4997 |
NPI Number | 1811067150 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 05/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811067150 | NPI | - | NPPES |
262555500 | Medicaid | FL | |
58985 | Other | FL | BCBSFL |
DC4472 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME82452 (Florida) | Primary |
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