MEDICARE: WILLIAM P. EVANS MD

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	208800000X	Urology Physician	ME0038033	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4091480	OTHER	FL	AETNA PROVIDER NUMBER
3	739090	OTHER	FL	FIRST HLTH/CCN PROVIDER #
4	96131	OTHER	FL	OP. ENGIN. PROVIDER #
5	1793617-007	OTHER	FL	CIGNA PROVIDER NUMBER
6	79594	OTHER	FL	BCBS PROVIDER NUMBER
7	166642	OTHER	FL	USA MNGD. CR. PROVIDER #
8	15752	OTHER	FL	WELLCARE
9	255642	OTHER	FL	AVMED PROVIDER NUMBER
10	ME0038033	OTHER	FL	METCARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1609841618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P. EVANS MD

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	507 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2618
Country	:	US
Telephone Number	:	239-772-0500
Fax Number	:	239-772-3076

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	06/15/2016

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Directions to “ WILLIAM P. EVANS MD” Practice Location

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