Healthcare Provider Details

I. General information

NPI: 1699618504
Provider Name (Legal Business Name): EVERJOY SENIOR CLUB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14861-14867 S DIXIE HWY
PALMETTO BAY FL
33176
US

IV. Provider business mailing address

14861-14867 S DIXIE HWY
PALMETTO BAY FL
33176
US

V. Phone/Fax

Practice location:
  • Phone: 754-248-8904
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANNA CERULLO
Title or Position: PRESIDENT
Credential:
Phone: 813-531-0849