Lori Jo Evans in Winter Park - Physician Assistant
Lori Jo Evans - NPI 1659453439
Lori Jo Evans is a Physician Assistant in Winter Park, Florida. Lori Jo Evans practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lori Jo Evans is 1659453439. The last update date is 2022-03-22.
Lori Jo Evans's current location address is 2005 Mizell Ave Ste 2100, Winter Park, Florida. You can contact this provider via phone number 4075996460 and fax number 4075996461. The mailing address for Lori Jo Evans is 2005 Mizell Ave Ste 2100, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Jo Evans |
|---|---|
| Address | 2005 Mizell Ave Ste 2100, Winter Park, Florida |
| Phone Number | 4075996460 |
| Fax Number | 4075996461 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1659453439 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 2005 Mizell Ave Ste 2100 |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 327924126 |
| Phone Number | 4075996460 |
| Fax Number | 4075996461 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50-002502 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11907432 | OH | CAQH | |
| 156040 | OH | -- |
Post Comment/ Review Below
What is the Lori Jo Evans's unique identification number?
The Lori Jo Evans has been assigned the NPI (National Provider Identifier) Number 1659453439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
When did the Lori Jo Evans receive its 1659453439?
The Lori Jo Evans was issued its 1659453439 on 2006-10-20, which is the date when the organization was assigned this unique identifier.
On what date did the Lori Jo Evans receive its 1659453439 assignment from the Centers for Medicare & Medicaid Services?
The Lori Jo Evans was assigned its 1659453439 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date were the Lori Jo Evans's details last updated?
The information pertaining to the Lori Jo Evans, including its address, specialty, and other details, was most recently updated on 2022-03-22.
As of what date were the details related to Lori Jo Evans most recently updated or revised?
The information pertaining to Lori Jo Evans, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-22.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL