Organization
EVERGREEN HEALTHCARE COOPERATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINO SHAN MD (CEO)
(813) 380-4645
Entity
Organization
Contact information
Practice address
400 N TAMPA ST STE 1550, TAMPA, FL 33602-4737
(917) 428-8463
(804) 415-4040
Mailing address
400 N TAMPA ST STE 1550, TAMPA, FL 33602-4737
(804) 415-4040
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
06/05/2026
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