Active NPI
Everwell Luxe
- Clinic/Center
- Kissimmee, FL
National Provider Identifier
1376456053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERWELL LUXE
- Practice address
- 25 Broadway # 1
Kissimmee, FL 34741-5711 - Phone
- (863) 206-9696
- NPI assigned
- Sep 24, 2026
- 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
- Shavona Butler
- Title
- Owner
- Phone
- (863) 206-9696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
25 Broadway # 1
Kissimmee, FL 34741-5711
Mailing address
39873 Highway 27
Davenport, FL 33837-7802
Phone (863) 206-9696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1376456053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39873 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377802",
"telephone_number": "863-206-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BROADWAY # 1",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415711",
"telephone_number": "863-206-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERWELL LUXE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "SHAVONA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-206-9696"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.