Healthcare Provider Details

I. General information

NPI: 1952743023
Provider Name (Legal Business Name): MICHELLE EVANS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 284
OCOEE FL
34761-3432
US

IV. Provider business mailing address

10000 W COLONIAL DR STE 284
OCOEE FL
34761-3432
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-1570
  • Fax: 321-841-1569
Mailing address:
  • Phone: 321-841-1570
  • Fax: 321-841-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberUO3495
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberOS 13137
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: