| Evolution Med Inc | |
|
7911 Nw 72nd Ave Ste 215a Medley FL 33166-2223 | |
| (786) 409-5065 | |
| (786) 409-5199 |
| Full Name | Evolution Med Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7911 Nw 72nd Ave Ste 215a, Medley, Florida |
| Authorized Official Name and Position | Maura M Perez (PRESIDENT) |
| Authorized Official Contact | 7864095065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Med Inc 7911 Nw 72nd Ave Ste 215a Medley FL 33166-2223 Ph: (786) 409-5065 | Evolution Med Inc 7911 Nw 72nd Ave Ste 215a Medley FL 33166-2223 Ph: (786) 409-5065 |
| NPI Number | 1720639099 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720639099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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