Healthcare Provider Details

I. General information

NPI: 1356131486
Provider Name (Legal Business Name): EVERWELL HEALTH AND INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W MONTROSE ST
CLERMONT FL
34711-2119
US

IV. Provider business mailing address

609 W MONTROSE ST
CLERMONT FL
34711-2119
US

V. Phone/Fax

Practice location:
  • Phone: 352-383-8400
  • Fax:
Mailing address:
  • Phone: 352-383-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MICHELLE KING
Title or Position: OWNER
Credential: APRN
Phone: 321-229-4107