David Evans DO Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-11552 Issued in FL

Legal business name

DAVID EVANS DO INTERNAL MEDICINE LLC

Practice address

13005 Southern Blvd
Suite 121
Loxahatchee, FL 33470-9206

Phone

(561) 790-4445

Fax

(561) 790-4237

NPI assigned

Nov 1, 2014

Last updated

Nov 1, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Evans, D.O.NPI 1033111687

Title

Owner/Physician

Phone

(609) 440-7386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Evans, DO

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1033111687
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1588069546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 CYPRESS PARK DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146356",
            "telephone_number": "609-440-7386",
            "fax_number": "561-225-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 121",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-790-4445",
            "fax_number": "561-790-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID EVANS DO INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "609-440-7386",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS-11552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Damiano, PA-C
• Nivedita Das, PHARMD
• Data Medical Inc (A Healthy Start Family Practice)
• Data Medical Inc
• David a Miller
• Kimberly Norelle Dawkins, RPA-C
• Yeisel De la Rua
• Keivan Dehghanpisheh, PH. D. , M.D.
• Lashawn Delancy, APRN
• Paul William Delisser, RPH

• Internal Medicine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.