EVERGREEN MEDICAL CENTER, PA
NPI 1790118180
Internal Medicine in Pembroke Pines, FL

Active since August 20, 2013CLIA 10D2069915 · Waiver
400 N HIATUS RD, SUITE 206, PEMBROKE PINES, FL 33026(954) 380-8550(954) 380-8580 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2025, Apr 29, 2022 (2 updates tracked since 2022).

About Evergreen Medical Center, Pa NPPES

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

EVERGREEN MEDICAL CENTER, PA (NPI 1790118180) is a healthcare organization registered as an internal medicine in Pembroke Pines, Florida and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Alsu Leykind, President, as its authorized official.

NPPES Registry Identity

NPI1790118180
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVERGREEN MEDICAL CENTER, PA
Location Address400 N HIATUS RD, SUITE 206Pembroke Pines, FL 33026-5214
Mailing Address5846 S Flamingo Rd, #280Cooper City, FL 33330-3237 · (954) 380-8550 · Fax (954) 380-8580
Fax(954) 380-8580
Organization SubpartNo
Authorized OfficialAlsu LeykindPresident · (954) 380-8550
Enumeration DateAugust 20, 2013
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1790118180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

400 N HIATUS RD, Pembroke Pines, FL 33026

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2069915
Facility Type
Physician Office
Certificate Effective Date
December 05, 2025
Certificate Expiration Date
December 04, 2027
Laboratory Director
MARC GREENSTEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evergreen Medical Center, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EVERGREEN MEDICAL CENTER, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Family Medicine (Adult Medicine)
400 N HIATUS RD, SUITE 201
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Physician Assistant
400 N HIATUS RD, STE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Internal Medicine
400 N HIATUS RD, SUITE 206
PEMBROKE PINES, FL 33026
Pediatrics
400 N HIATUS RD
PEMBROKE PINES, FL 33026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790118180, enumerated as an "organization" on August 20, 2013.

The provider is located at 400 N HIATUS RD SUITE 206 PEMBROKE PINES, FL 33026 and the phone number is (954) 380-8550.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.