| Evernorth Direct Health LLC | |
|
14311 Metropolis Ave Ste 102 Fort Myers FL 33912-4442 | |
| (239) 768-0127 | |
| (239) 768-0671 |
| Full Name | Evernorth Direct Health LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 14311 Metropolis Ave Ste 102, Fort Myers, Florida |
| Authorized Official Name and Position | Deborah Sue Coolidge (FINANCIAL ANALYSIS SENIOR MANAGER) |
| Authorized Official Contact | 6232771170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Direct Health LLC 25600 N Norterra Dr Phoenix AZ 85085-8201 Ph: (623) 277-1190 | Evernorth Direct Health LLC 14311 Metropolis Ave Ste 102 Fort Myers FL 33912-4442 Ph: (239) 768-0127 |
| NPI Number | 1063063089 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063063089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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