Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · St. Cloud, FL

NPI number 1336986256 Active

Practice location

2950 Lakeshore Blvd
St. Cloud, FL 34769-1946

Call (623) 277-1190 Map

Mailing address

8888 E Raintree Dr
Scottsdale, AZ 85260-3951

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

Premise Health of Florida Medical PAMulti-Specialty Clinic/Center St. Cloud, FL NPI 1790459832

Other clinic/center providers in St. Cloud

See all in St. Cloud →

NPI record

NPI: 1336986256
Entity type: Organization (Type 2)
Issued: Jul 9, 2024
Last updated: Jul 9, 2024
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

City of ST Cloud Health & Wellness Center · other name

Authorized official

Deborah Sue Coolidge
Financial Analysis Senior Manager
(623) 277-1170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336986256

Evernorth Direct Health LLC's National Provider Identifier is 1336986256, issued on Jul 9, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Cloud, FL. The record was last updated on Jul 9, 2024.