MEDICARE: OLIVIA EVANS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH15338	FL

General Provider Information

NPI Number	:	1518767813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA EVANS DC

Provider Business Mailing Address
First Line	:	2146 S RIVERSIDE DR STE 5
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 S RIVERSIDE DR STE 5
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-4257
Country	:	US
Telephone Number	:	386-222-0210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	01/07/2026

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Directions to “ OLIVIA EVANS DC” Practice Location

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