# EVERRENZ HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326657982
- **Authorized official:** WENDY C LU (CREDENTIALING MANAGER)
- **Authorized official phone:** (904) 221-2535

## Contact information

- **Practice address:** 800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
- **Practice address phone:** (904) 729-0981
- **Practice address fax:** (844) 937-1442
- **Mailing address:** 11250 OLD SAINT AUGUSTINE RD STE 15-361, JACKSONVILLE, FL 32257-1088
- **Mailing address phone:** (904) 729-0981
- **Mailing address fax:** (844) 937-1442

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 07/29/2020