Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Orlando, FL

NPI number 1902606411 Active

Practice location

5855 Cargo Rd
Orlando, FL 32827-4349

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

Dustin ComerParamedic Orlando, FL NPI 1932723012

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NPI record

NPI: 1902606411
Entity type: Organization (Type 2)
Issued: Mar 14, 2025
Last updated: Mar 14, 2025
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

Gooa 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 1902606411

Evernorth Direct Health LLC's National Provider Identifier is 1902606411, issued on Mar 14, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Orlando, FL. The record was last updated on Mar 14, 2025.