Organization
EVERWELL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERMON GRAYS (VP)
(305) 788-0000
Entity
Organization
Contact information
Practice address
1111 6TH AVE, SAN DIEGO, CA 92101-5209
(305) 788-0000
Mailing address
1111 6TH AVE, SAN DIEGO, CA 92101-5209
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
03/13/2026
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