EVOLUTION HEALTH & PERFORMANCE LLC NPI 1376161380

NPI Information

  • NPI: 1376161380
  • Provider Name: EVOLUTION HEALTH & PERFORMANCE LLC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 244 S. PALMETTO AVE
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 310-2385

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NPI Details

EVOLUTION HEALTH & PERFORMANCE LLC is an emergency medical services emergency medicine in Daytona Beach, FL. The provider is 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. EVOLUTION HEALTH & PERFORMANCE LLC NPI is 1376161380. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

244 S. PALMETTO AVE
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 310-2385
Fax: (386) 233-9488

The provider's authorized official is Bobby John Ardila .
The authorized official title is Owner/pa and has the following contact phone number (407) 739-2395.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesYes
2363A00000XPhysician AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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