Evonna Ackourey, PA-C
Physician Assistant in Sarasota, FL. Individual provider (NPI-1).
NPI number1285276139
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1285276139
- Entity type
- Individual (NPI-1)
- Name
- Evonna Ackourey
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2019
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117342 | FL | Yes |
| 363A00000X | Physician Assistant | MA061187 | PA |
Practice location
1921 Waldemere St Ste 504Sarasota, FL 34239-2941
Phone 941-917-8525 · Fax 941-917-8526
Mailing address
Po Box 947407Atlanta, GA 30394-7407
Phone 941-917-2600 · Fax 941-917-7884
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