# EVERTRUST MEDICAL GROUP

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

## Provider details

- **NPI number:** 1790649085
- **Authorized official:** JACQUELINE LAGUERRE DURAZIL (MANAGER)
- **Authorized official phone:** (407) 561-4711

## Contact information

- **Practice address:** 1650 S DIXIE HWY STE 301, BOCA RATON, FL 33432-7405
- **Practice address phone:** (305) 359-7673
- **Mailing address:** 1650 S DIXIE HWY STE 301, BOCA RATON, FL 33432-7405
- **Mailing address phone:** (305) 359-7673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 02/03/2026