EVOLUTION HEALTH & PERFORMANCE LLC – NPI #1376161380
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Health Care Provider Taxonomy Code for Emergency Medicine

EVOLUTION HEALTH & PERFORMANCE LLC is a provider located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1376161380 to EVOLUTION HEALTH & PERFORMANCE LLC on July 07, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVOLUTION HEALTH & PERFORMANCE LLC below.

NPI Profile for
EVOLUTION HEALTH & PERFORMANCE LLC

NPI Number
1376161380
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVOLUTION HEALTH & PERFORMANCE LLC
Primary location
244 S. PALMETTO AVE
DAYTONA BEACH, FL 32114
Phone: (386) 310-2385 Fax: (386) 233-9488
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BOBBY ARDILA
OWNER/PA
Phone: (407) 739-2395
Updated
Certification Date
Jul 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.