Organization
EVERRENZ HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY C LU (CREDENTIALING MANAGER)
(904) 221-2535
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 729-0981
(844) 937-1442
Mailing address
11250 OLD SAINT AUGUSTINE RD STE 15-361, JACKSONVILLE, FL 32257-1088
(904) 729-0981
(844) 937-1442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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