Active NPI
Eve Medical Center LLC
- Health Service Clinic/Center
- West Palm Beach, FL
National Provider Identifier
1295356665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- West Palm Beach, FL
- NPI 1508488347
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.