Healthcare Provider Details

I. General information

NPI: 1013409028
Provider Name (Legal Business Name): EVERYDAYDOCTOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7380 S OCEAN DR APT 817A
JENSEN BEACH FL
34957-2068
US

IV. Provider business mailing address

7380 S OCEAN DR APT 817A
JENSEN BEACH FL
34957-2068
US

V. Phone/Fax

Practice location:
  • Phone: 310-625-3224
  • Fax:
Mailing address:
  • Phone: 310-625-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN OZERAN
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 310-625-3224