Healthcare Provider Details

I. General information

NPI: 1417811969
Provider Name (Legal Business Name): EVERHEALTH PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8461 LAKE WORTH RD STE 178
LAKE WORTH FL
33467-2474
US

IV. Provider business mailing address

8461 LAKE WORTH RD STE 178
LAKE WORTH FL
33467-2474
US

V. Phone/Fax

Practice location:
  • Phone: 561-480-3052
  • Fax: 561-422-4559
Mailing address:
  • Phone: 561-480-3052
  • Fax: 561-422-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EUCLIDES MUNOZ PEREZ
Title or Position: OWNER, NURSE PRACTITIONER
Credential: APRN
Phone: 561-480-3052