Provider Demographics
NPI:1679449847
Name:EVERWELL FAMILY HEALTH, LLC
Entity type:Organization
Organization Name:EVERWELL FAMILY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRICARLY
Authorized Official - Middle Name:LUCIA MARIA
Authorized Official - Last Name:BRACHO MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:407-675-1433
Mailing Address - Street 1:1816 NAPOLI DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8052
Mailing Address - Country:US
Mailing Address - Phone:407-675-1433
Mailing Address - Fax:
Practice Address - Street 1:1816 NAPOLI DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8052
Practice Address - Country:US
Practice Address - Phone:407-675-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty