| Stephanie Evans Llc | |
|
6311 S Roberts Ave Apt A Tampa FL 33616-2668 | |
| (813) 527-8976 | |
| Not Available |
| Full Name | Stephanie Evans Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6311 S Roberts Ave Apt A, Tampa, Florida |
| Authorized Official Name and Position | Stephanie Evans (SOLE MEMBER) |
| Authorized Official Contact | 8135278976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Evans Llc 6311 S Roberts Ave Apt A Tampa FL 33616-2668 Ph: (813) 527-8976 | Stephanie Evans Llc 6311 S Roberts Ave Apt A Tampa FL 33616-2668 Ph: (813) 527-8976 |
| NPI Number | 1316497241 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ISW11019 (Florida) | Primary |
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