Organization Active NPI

Eve Medical Center LLC

  • Health Service Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1295356665
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EVE MEDICAL CENTER LLC
Doing business as
MED-GLOW
Practice address
2630 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone
(561) 903-0808
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christian E Jimenez
Title
Practice Manager
Phone
(561) 379-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2630 Forest Hill Blvd
West Palm Beach, FL 33406-5931

Mailing address

2404 Timber Forest Dr
West Palm Beach, FL 33415-3625
Phone (561) 379-3955

Other names 1

  • MED-GLOW Doing business as

National Provider Directory

National Provider Directory

Locations

1233 45th St
Ste A1
Mangonia Park, FL 33407

3175 S Congress Ave
Ste 200H
Palm Springs, FL 33461
Phone (561) 232-9630

2630 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 903-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1295356665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 TIMBER FOREST DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153625",
            "telephone_number": "561-379-3955",
            "fax_number": "561-516-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-903-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-379-3955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-GLOW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.