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Organization
AZOVA CARE GROUP (FL), PLLC
Active
Organization
AZOVA CARE GROUP (FL), PLLC
Active
Other names
AZOVA CARE GROUP (FL), PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LEE D. EBERTING MD (FOUNDER)
(844) 692-9682
Entity
Organization
Contact information
Practice address
144 S MAIN ST STE 100, ALPINE, UT 84004-1667
(801) 671-7200
Mailing address
144 S MAIN ST STE 100, ALPINE, UT 84004-1667
(801) 671-7200
(801) 769-1292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
09/19/2022
Last updated
09/09/2026
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