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NPI 1952743023

NPI 1952743023 : MICHELLE EVANS D.O. : OCOEE, FL

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General NPI Number Information
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    NPI Number           |    1952743023
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE EVANS D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2013
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    10000 W COLONIAL DR STE 284 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-3432
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    Country              |    US
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    Telephone            |    321-841-1570
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    Fax                  |    321-841-1569
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Provider Business Mailing Address
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    Address Line         |    10000 W COLONIAL DR STE 284 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-3432
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    Country              |    US
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    Telephone            |    321-841-1570
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    Fax                  |    321-841-1569
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    UO3495
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    OS 13137
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    License Number State |    FL
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