# EVERWELL MEDICAL LLC

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

## Provider details

- **NPI number:** 1942186333
- **Authorized official:** FERMON GRAYS (VP)
- **Authorized official phone:** (305) 788-0000

## Contact information

- **Practice address:** 1111 6TH AVE, SAN DIEGO, CA 92101-5209
- **Practice address phone:** (305) 788-0000
- **Mailing address:** 1111 6TH AVE, SAN DIEGO, CA 92101-5209

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 03/13/2026