Provider Demographics
NPI:1952408593
Name:GADOR, EVELYN B (MD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:B
Last Name:GADOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4563 CENTRAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8137
Mailing Address - Country:US
Mailing Address - Phone:727-328-7800
Mailing Address - Fax:727-328-9555
Practice Address - Street 1:4563 CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8137
Practice Address - Country:US
Practice Address - Phone:727-328-7800
Practice Address - Fax:727-328-9555
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0028968207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD64441Medicare UPIN
FL52947ZMedicare ID - Type Unspecified