Organization
EVERNORTH DIRECT HEALTH LLC
Active
Parent organization
EVERNORTH DIRECT HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERNORTH DIRECT HEALTH LLC
Authorized official
SHANNON CUSTER (CHIEF OPERATING OFFICER AND VP)
(706) 483-5099
Entity
Organization
Contact information
Practice address
6272 LEE VISTA BLVD, ORLANDO, FL 32822-5148
(623) 277-1190
Mailing address
8888 E RAINTREE DR, SCOTTSDALE, AZ 85260-3951
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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