# AZOVA CARE GROUP (FL), PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AZOVA CARE GROUP (FL), PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285357921
- **Authorized official:** CHERYL LEE D. EBERTING MD (FOUNDER)
- **Authorized official phone:** (844) 692-9682

## Contact information

- **Practice address:** 144 S MAIN ST STE 100, ALPINE, UT 84004-1667
- **Practice address phone:** (801) 671-7200
- **Mailing address:** 144 S MAIN ST STE 100, ALPINE, UT 84004-1667
- **Mailing address phone:** (801) 671-7200
- **Mailing address fax:** (801) 769-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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