Provider Demographics
NPI:1477998680
Name:EVANS, WILLIAM HAMAN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HAMAN
Last Name:EVANS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2401 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-4933
Mailing Address - Country:US
Mailing Address - Phone:941-744-1336
Mailing Address - Fax:941-746-3846
Practice Address - Street 1:2401 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4933
Practice Address - Country:US
Practice Address - Phone:941-744-1336
Practice Address - Fax:941-746-3846
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12095207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty