Organization
AZOVA CARE GROUP (FL), PLLC
Active
Other names
AZOVA CARE GROUP (FL), PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LEE D. EBERTING MD (FOUNDER)
(844) 692-9682
Entity
Organization
Contact information
Practice address
144 S MAIN ST, ALPINE, UT 84004-1666
(801) 815-7342
Mailing address
144 S MAIN ST, ALPINE, UT 84004-1666
(801) 815-7342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/19/2022
Last updated
01/20/2025
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