MEDICARE: ALL ABOUT EVE MEDICAL AND WELLNESS 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1659900017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT EVE MEDICAL AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	3450 NORTHLAKE BLVD STE 203
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1711
Country	:	US
Telephone Number	:	561-619-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 NORTHLAKE BLVD STE 203
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1711
Country	:	US
Telephone Number	:	561-619-8722
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	LYSE LAURIN-PIERRE
Credential	:	DNP, APRN
Telephone Number	:	561-619-8722

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	10/10/2023

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