EVOLVE HYDRATION AND WELLNESS LLC
NPI 1245015759
Clinic/Center in Longwood, FL

Active since August 31, 2023CLIA 10D2293480 · Waiver
187 SABAL PALM DR STE 100, LONGWOOD, FL 32779(407) 353-1336 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evolve Hydration And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLVE HYDRATION AND WELLNESS LLC (NPI 1245015759) is a healthcare organization registered as a clinic/center in Longwood, Florida and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Cameka Campbell, Owner, as its authorized official.

NPPES Registry Identity

NPI1245015759
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVOLVE HYDRATION AND WELLNESS LLC
Location Address187 SABAL PALM DR STE 100Longwood, FL 32779-2595
Mailing Address187 Sabal Palm Dr Ste 100Longwood, FL 32779-2595 · (407) 353-1336
Organization SubpartNo
Authorized OfficialCameka CampbellOwner · (407) 353-1336
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
NPI 1245015759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
187 SABAL PALM DR STE 100, Longwood, FL 32779

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2293480

Evolve Hydration And Wellness · Longwood, FL
Active · expires Nov 8, 2027
CLIA Number10D2293480
Laboratory TypePractitioner Other
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorCameka Campbell
Laboratory Phone(407) 353-1336
Laboratory LocationEvolve Hydration And Wellness187 Sabal Palm Dr, Longwood, FL 32779
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
187 SABAL PALM DR STE 100
LONGWOOD, FL 32779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolve Hydration And Wellness LLC's NPI number?

The NPI number for Evolve Hydration And Wellness LLC is 1245015759. It was assigned to this organization in the NPPES registry on August 31, 2023.

Where is Evolve Hydration And Wellness LLC located?

Evolve Hydration And Wellness LLC is located at 187 Sabal Palm Dr Ste 100, Longwood, FL 32779. The listed phone number is (407) 353-1336.

What is Evolve Hydration And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evolve Hydration And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2293480) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evolve Hydration And Wellness LLC was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.