Evergreene Center Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

EVERGREENE CENTER INC

Practice address

1035 S State Road 7
Ste C214
Wellington, FL 33414-6134

Phone

(561) 626-9021

Fax

(561) 626-7593

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Joanne Craft

Title

Owner

Phone

(561) 626-9021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407044951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD",
            "address_2": "STE 202 NUMB 304",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115115",
            "telephone_number": "561-626-9021",
            "fax_number": "561-626-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7",
            "address_2": "STE C214",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146134",
            "telephone_number": "561-626-9021",
            "fax_number": "561-626-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREENE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-626-9021"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natacha Etienne, APRN
• Alison Marie Evans, M.S., CCC-SLP
• Andrew Evans, D.O.
• Dean Ernest Evans, PA-C
• Jay A Evans, PTA
• Evernorth Direct Health LLC
• Stael Exantus, RMHCI- CRC
• Eye & Ear of Wellington LLC
• Graham Eyeington
• Faris J. Fakhoury, MD

• Plastic Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.