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1174528285
CHARLES MATTHEW EVANS
JACKSONVILLE, FL
NPI
1174528285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT18037)
Enumeration Date
2005-06-15
Last Update Date
2015-02-04
Business Address
-- CHARLES MATTHEW EVANS PT
5737 BARNHILL DR STE 204 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207-7189
Phone number: 904-733-9948
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Mailing Address
-- CHARLES MATTHEW EVANS PT
PO BOX 40767 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32203-0767
Phone number: 904-376-3707
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