Healthcare Provider Details

I. General information

NPI: 1376479527
Provider Name (Legal Business Name): EVERWELLNESS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SW 75TH AVE STE 129
MIAMI FL
33155-4450
US

IV. Provider business mailing address

5000 SW 75TH AVE STE 129
MIAMI FL
33155-4450
US

V. Phone/Fax

Practice location:
  • Phone: 786-580-5278
  • Fax: 786-580-5284
Mailing address:
  • Phone: 786-580-5278
  • Fax: 786-580-5284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MONZON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-542-4570