Provider Demographics
NPI:1689027245
Name:SALNAVE, EVENS
Entity Type:Individual
Prefix:
First Name:EVENS
Middle Name:
Last Name:SALNAVE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 NORTHERN LIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5937
Mailing Address - Country:US
Mailing Address - Phone:561-860-2145
Mailing Address - Fax:
Practice Address - Street 1:5039 NORTHERN LIGHTS DR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-5937
Practice Address - Country:US
Practice Address - Phone:561-860-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAHCA#232901372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion