Evernorth Direct Health LLC

NPI #1063063089 in Fort Myers, Florida

Provider Information

NPI Number
1063063089
Entity Type
Organization
Organization Name
Evernorth Direct Health LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EVERNORTH DIRECT HEALTH LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 20, 2019
Last Updated
May 3, 2021

Practice Location

Address
14311 METROPOLIS AVE STE 102
State
Florida
ZIP Code
33912-4442
Phone
(239) 768-0127

Authorized Official

Name
DEBORAH SUE COOLIDGE
Title
FINANCIAL ANALYSIS SENIOR MANAGER
Phone
(623) 277-1170

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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