PRO HEALTHCARE SERVICES INC NPI 1134755044

NPI Information

NPI: 1134755044
Provider Name: PRO HEALTHCARE SERVICES INC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4630 SW 99TH AVE
MIAMI, FL
ZIP 33165
Phone: (786) 218-2569
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PRO HEALTHCARE SERVICES INC is a primary care nurse practitioner in Miami, FL. PRO HEALTHCARE SERVICES INC NPI is 1134755044. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4630 SW 99TH AVE
MIAMI, FL
ZIP 33165-761
Phone: (786) 218-2569

The provider's authorized official is Yamel Rodriguez .
The authorized official title is Authorized Official and has the following contact phone number (786) 218-2569.

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN9311744	OTHER	FLORIDA	APRN9311744

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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