DALLAS LAMAR EVANS


Address: 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038
Phone: 3217519506

DALLAS LAMAR EVANS (NPI# 1083981260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083981260
Entity Type Individual
Full Name DALLAS LAMAR EVANS
Credential ARNP
Practice Address 6550 N Wickham Rd
Suite 2
Melbourne
FL 32940-2038
Mailing Address 6742 Rhode Island Drive West
Jacksonville
FL 32209-1436
Practice Telephone 3217519506
Practice Fax Number 3217519505
Mailing Telephone 9043800346
Mailing Fax Number 9047681226
Enumeration Date 2011-11-16
Last Update Date 2011-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP9175957 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6550 N WICKHAM RD
SUITE 2
City MELBOURNE
State FL
Zip Code 32940-2038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104804954 Guy Yves Pelchat Chiropractor 6550 N Wickham Rd, Suite 6, Melbourne, FL 32940-2038 2006-01-03
1427591809 Demytra Wolf Physician Assistant 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2016-12-02
1265613558 Michelle Renee Wheat Massage Therapist 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2007-11-15
1801003058 Cynthia Lee Titus Nurse Practitioner 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2007-05-17
1083622245 Medical Associates of Brevard LLC Clinic/Center 6550 N Wickham Rd, #2, Melbourne, FL 32940-2038 2006-08-04
1770531774 John David Mackenney Podiatrist 6550 N Wickham Rd, Suite 4, Melbourne, FL 32940-2038 2006-05-04
1548249535 Shakti Datt Bakshi Internal Medicine 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2006-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700403649 True Motion Physical Therapy and Wellness Clinic/Center 3536 Peninsula Circle, Mlebourne, FL 32940 2020-06-26
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1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316475171 Jacqueline Hoskins Nurse Practitioner 2644 Kingsmill Ave, Melbourne, FL 32934-7583 2017-05-24
1255773701 Mobile Physicians Group Inc Nurse Practitioner 1010 E New Haven Ave Ste B, Melbourne, FL 32901 2013-07-25
1598100893 Serina Wisnewski Nurse Practitioner 2955 Pineda Plaza Way, Suite: 115, Melbourne, FL 32940-7318 2013-05-01
1841521176 Leonora Lillian Conte Nurse Practitioner 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 2010-01-27
1407073943 Paige Michelle Ahammer Nurse Practitioner 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 2007-04-19
1326033085 Michelle Wiedenhoeft Nurse Practitioner 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 2005-09-19
1861491565 Marva Edwards-marshall Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901-5474 2005-07-15
1801891585 Bruce Robert Simpkins Nurse Practitioner 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 2005-06-17
1053922476 Cory Louis Nayfield Nurse Practitioner 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 2020-08-10
1457830556 Heidi Jo Sommers Nurse Practitioner 1131 W New Haven Ave, Melbourne, FL 32904-4110 2018-08-09
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Competitor

Search similar providers

City MELBOURNE
Zip Code 32940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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