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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: August 16, 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
Phone(954) 380-8550
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 10D2069915

Evergreen Medical Center PA · Pembroke Pines, FL
Active · expires Dec 4, 2027
CLIA Number10D2069915
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorMarc Greenstein
Laboratory Phone(954) 380-8550
Laboratory LocationEvergreen Medical Center PA400 N Hiatus Rd Ste 206, Pembroke Pines, FL 33026
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 12

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

GARY J LIEBERMAN MD
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000
MARC HOWARD GREENSTEIN MD
Internal Medicine
400 N HIATUS RD, SUITE 206
PEMBROKE PINES, FL 33026
Broward County (954) 380-8550
ANTONIO VAZQUEZ MD
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000
HILA GILBERD PAC
Physician Assistant
400 N HIATUS RD, STE 105
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000
FAHMIDA MUSHAROF
Pediatrics
400 N HIATUS RD
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000
LESLIE SHAWN D.O. P.A.
Family Medicine (Adult Medicine)
400 N HIATUS RD, SUITE 201
PEMBROKE PINES, FL 33026
Broward County (954) 442-3434
EILEEN KIANG DO
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000
DIANNE PATRICE WILLIAMS M.D.
Pediatrics
400 N HIATUS RD, SUITE 105
PEMBROKE PINES, FL 33026
Broward County (954) 431-8000

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 Evergreen Medical Center, PA's NPI number?

The NPI number for Evergreen Medical Center, PA is 1790118180. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is Evergreen Medical Center, PA located?

Evergreen Medical Center, PA is located at 400 N Hiatus Rd Suite 206, Pembroke Pines, FL 33026. The listed phone number is (954) 380-8550.

What is Evergreen Medical Center, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Evergreen Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2069915) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Medical Center, PA accept?

Health plans from AvMed list Evergreen Medical Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Center, PA was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.