Organization · Type 2 NPI
Evernorth Direct Health LLC
Clinic/Center · Fort Myers, FL
NPI number
1063063089
Active
Practice location
14311 Metropolis Ave Ste 102
Fort Myers, FL 33912-4442
Fax (239) 768-0671
Mailing address
25600 N Norterra Dr
Phoenix, AZ 85085-8201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
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About NPI 1063063089
Evernorth Direct Health LLC's National Provider Identifier is 1063063089, issued on Sep 20, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Myers, FL. The record was last updated on May 3, 2021.