Healthcare Provider Details

I. General information

NPI: 1457706640
Provider Name (Legal Business Name): SARAH MARIE EVANS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARIE HELTON

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD ROOM N3-9
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

1600 SW ARCHER RD ROOM N3-9
GAINESVILLE FL
32610-3003
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7943
  • Fax:
Mailing address:
  • Phone: 352-273-7943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN23319
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: