Organization Active NPI

Evertrust Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1790649085
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EVERTRUST MEDICAL GROUP
Practice address
1650 S Dixie Hwy Ste 301
Boca Raton, FL 33432-7405
Phone
(305) 359-7673
NPI assigned
Dec 11, 2025
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Jacqueline Laguerre Durazil
Title
Manager
Phone
(407) 561-4711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1650 S Dixie Hwy Ste 301
Boca Raton, FL 33432-7405

Mailing address

1650 S Dixie Hwy Ste 301
Boca Raton, FL 33432-7405
Phone (305) 359-7673

National Provider Directory

National Provider Directory

Locations

1650 S Dixie Hwy
Ste 301
Boca Raton, FL 33432
Phone (305) 359-7673

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1790649085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S DIXIE HWY STE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327405",
            "telephone_number": "305-359-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S DIXIE HWY STE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327405",
            "telephone_number": "305-359-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERTRUST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "DURAZIL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LAGUERRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-561-4711"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.