Active NPIIndividual provider

Evonna Ackourey, PA-C

Physician Assistant in Sarasota, Florida

NPI Number1285276139
Practice location
1921 Waldemere St Ste 504, Sarasota, FL 34239-2941
Fax
941-917-8526
Last updated
February 2, 2024

Evonna Ackourey, PA-C is a Physician Assistant based in Sarasota, FL. Evonna Ackourey, PA-C holds the professional credentials of PA-C. The NPI number for Evonna Ackourey, PA-C is 1285276139 and holds license No. MA061187 (PA). The current practice location address is 1921 Waldemere St Ste 504, Sarasota, FL 34239-2941 and the office can be reached by phone at 941-917-8525 and by fax at 941-917-8526. The NPI was assigned on October 11, 2019 and the record was last updated in NPPES on February 2, 2024.

●Provider Profile Details

NPI Number
1285276139
Provider Name
Evonna Ackourey
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
October 11, 2019
Last Update Date
February 2, 2024
Certification Date
February 2, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1921 Waldemere St Ste 504
Sarasota, FL 34239-2941
State
Florida
ZIP
34239-2941
Country
US
Phone Number
941-917-8525
Fax Number
941-917-8526

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✉Business Mailing Address

Address
Po Box 947407
Atlanta, GA 30394-7407
City
Atlanta
State
GA
ZIP
30394-7407
Phone Number
941-917-2600
Fax Number
941-917-7884

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XNoMA061187PA
Physician Assistant363A00000XYesPA9117342FL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Evonna Ackourey, PA-C?

The NPI number of Evonna Ackourey, PA-C is 1285276139. It was assigned on October 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Evonna Ackourey, PA-C?

Evonna Ackourey, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. MA061187 (PA).

Where does Evonna Ackourey, PA-C practice?

The practice location is 1921 Waldemere St Ste 504, Sarasota, FL 34239-2941. The office can be reached at 941-917-8525 (phone) or 941-917-8526 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285276139 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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