MEDICARE: EVERHEALTH PRIMARY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1417811969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERHEALTH PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	8461 LAKE WORTH RD STE 178
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2474
Country	:	US
Telephone Number	:	561-480-3052
Fax Number	:	561-422-4559

Provider Business Practice Location Address
First Line	:	8461 LAKE WORTH RD STE 178
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2474
Country	:	US
Telephone Number	:	561-480-3052
Fax Number	:	561-422-4559

Authorized Official
Title or Position	:	OWNER, NURSE PRACTITIONER
Name	:	EUCLIDES MUNOZ PEREZ
Credential	:	APRN
Telephone Number	:	561-480-3052

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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