Wayne Nicholas Evancho in North Miami Beach - Family Medicine

Wayne Nicholas Evancho - NPI 1619069804

Wayne Nicholas Evancho is a Family Medicine in North Miami Beach, Florida. Wayne Nicholas Evancho practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wayne Nicholas Evancho is 1619069804. The last update date is 2007-07-08.

Wayne Nicholas Evancho's current location address is 1380 Ne Miami Gardens Drive, North Miami Beach, Florida. You can contact this provider via phone number 3059448777 and fax number 3059443006. The mailing address for Wayne Nicholas Evancho is 1380 Ne Miami Gardens Drive, North Miami Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne Nicholas Evancho
Address 1380 Ne Miami Gardens Drive, North Miami Beach, Florida
Phone Number 3059448777
Fax Number 3059443006
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1619069804
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1380 Ne Miami Gardens Drive
City North Miami Beach
State Florida (FL)
Post Code 33179
Phone Number 3059448777
Fax Number 3059443006

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS5535
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6365500 FL --
296403 FL AV MED
1214206 FL CIGNA

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FAQs about Wayne Nicholas Evancho

What is the unique 10-digit identification code issued to Wayne Nicholas Evancho by the Centers for Medicare & Medicaid Services?

The Wayne Nicholas Evancho has been assigned the NPI (National Provider Identifier) 1619069804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Wayne Nicholas Evancho?

The Wayne Nicholas Evancho is situated at 1380 Ne Miami Gardens Drive, in the city of North Miami Beach, state of FL, with the zip code 33179.

What is Wayne Nicholas Evancho's area of expertise and its corresponding taxonomy classification?

The Wayne Nicholas Evancho's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

When did Wayne Nicholas Evancho receive its 1619069804 assignment?

The Wayne Nicholas Evancho was assigned its 1619069804 on 2006-09-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Wayne Nicholas Evancho, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wayne Nicholas Evancho, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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