NPI 1285276139 · live from the CMS NPI Registry
Evonna Ackourey, PA-C
Physician Assistant in Sarasota, FL. National Provider Identifier 1285276139, active.
NPI record
| NPI | 1285276139 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1921 Waldemere St Ste 504, Sarasota, FL 34239 |
| Practice phone | 941-917-8525 |
| Mailing address | Po Box 947407, Atlanta, GA 30394 |
| Enumerated | October 11, 2019 |
| Last updated | February 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MA061187 (PA) |
| Physician Assistant primary | 363A00000X | PA9117342 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.