Provider Demographics
NPI:1144512054
Name:RAHONIE PERSAUD-EVANS INC
Entity type:Organization
Organization Name:RAHONIE PERSAUD-EVANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAHONIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-714-2384
Mailing Address - Street 1:3580 S OCEAN BLVD
Mailing Address - Street 2:2A
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-5787
Mailing Address - Country:US
Mailing Address - Phone:561-714-2384
Mailing Address - Fax:
Practice Address - Street 1:3580 S OCEAN BLVD
Practice Address - Street 2:2A
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5787
Practice Address - Country:US
Practice Address - Phone:561-714-2384
Practice Address - Fax:561-582-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9175604261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty