Provider Demographics
NPI:1700842481
Name:EVANS, MELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELIA
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1578 W ORANGE BLOSSOM TRL BLDG 1560
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2639
Mailing Address - Country:US
Mailing Address - Phone:407-635-3027
Mailing Address - Fax:321-203-4649
Practice Address - Street 1:1578 W ORANGE BLOSSOM TRL BLDG 1560
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2639
Practice Address - Country:US
Practice Address - Phone:407-635-3027
Practice Address - Fax:321-203-4649
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94840207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine