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Contact Information

EVOLUTION HEALTH & PERFORMANCE LLC
244 S. PALMETTO AVE
DAYTONA BEACH, FL32114
 Phone: 386-310-2385
 Fax: 386-233-9488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EVOLUTION HEALTH & PERFORMANCE LLC

NPI # 1376161380
LBN Legal business name EVOLUTION HEALTH & PERFORMANCE LLC
Authorized official BOBBY ARDILA - (OWNER/PA)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2020
Last updated 07/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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