NPI | 1013669878 |
---|---|
Other Name | EVARA HEALTH - TYRONE |
Doing Business As | EVARA HEALTH |
Entity Type | Organization |
Authorized Contact | EDWARD KUCHER Chief Regulatory Officer 727-824-8100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
208D00000X General Practice | |
Enumeration Date | 2022-01-24 |
Last Update Date | 2025-08-19 |