Provider Demographics
NPI:1275261125
Name:EVA MEDICAL CORP
Entity Type:Organization
Organization Name:EVA MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAZELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-335-1130
Mailing Address - Street 1:5431 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-335-1130
Mailing Address - Fax:561-335-1140
Practice Address - Street 1:5431 W ATLANTIC AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-335-1130
Practice Address - Fax:561-335-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty