# EVERGREEN MEDICAL CENTER, PA

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

## Provider details

- **NPI number:** 1790118180
- **Authorized official:** MRS. ALSU LEYKIND DNP APRN (PRESIDENT)
- **Authorized official phone:** (954) 380-8550

## Contact information

- **Practice address:** 400 N HIATUS RD, SUITE 206, PEMBROKE PINES, FL 33026-5214
- **Practice address phone:** (954) 380-8550
- **Practice address fax:** (954) 380-8580
- **Mailing address:** 5846 S FLAMINGO RD, \#280, COOPER CITY, FL 33330-3237
- **Mailing address phone:** (954) 380-8550
- **Mailing address fax:** (954) 380-8580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2013
- **Last updated:** 06/03/2025