MEDICARE: TAMMY L EVANS

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	2251P0200X	Pediatric Physical Therapist	3841	SC
2	2251P0200X	Pediatric Physical Therapist	37908	FL
3	225100000X	Physical Therapist	37908	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336202498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY L EVANS

Provider Business Mailing Address
First Line	:	5150 FOUNTAINS DR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5715
Country	:	US
Telephone Number	:	843-455-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 FOUNTAINS DR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5715
Country	:	US
Telephone Number	:	843-455-2415
Fax Number	:

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	09/10/2024

Similar Medicare Providers

1689427924 — ROSANA NOVO PEREZ
Practice Location Address:

1114 COCHRAN DR
LAKE WORTH BEACH, FL
33461-5715

Practice Phone: 561-537-1804
Practice Fax:

1245391861 — MS. KATHRYN KARLIN M.A.CCC SLP
Practice Location Address:

5715 LAKE HEIGHTS CIR
ALPHARETTA, GA
30022-5689

Practice Phone: 770-914-7724
Practice Fax: 770-814-7724

1962951202 — SANDRYN MARIE TAYLOR- WYSIEKIERSKI APN
Practice Location Address:

737 STIRLING CENTER PL STE 1809
LAKE MARY, FL
32746-5715

Practice Phone: 407-878-6008
Practice Fax:

1215504568 — KRISTIN MIRANDA APRN
Practice Location Address:

737 STIRLING CENTER PL STE 1809
LAKE MARY, FL
32746-5715

Practice Phone: 407-878-6008
Practice Fax:

1255074373 — DR. PETER IBRAHIM DMD
Practice Location Address:

737 STIRLING CENTER PL STE 1801
LAKE MARY, FL
32746-5715

Practice Phone: 407-805-8808
Practice Fax:

1770423410 — BRYAN D. OETH,DMD,COSMETIC & RESTORATIVE DENTAL CARE OF LAKE MARY, FL, PA
Practice Location Address:

737 STIRLING CENTER PL STE 1801
LAKE MARY, FL
32746-5715

Practice Phone: 407-805-8808
Practice Fax: 407-805-8905

Directions to “ TAMMY L EVANS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.