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HEALTH PRO LLC NPI 1376053124


NPI Information

NPI: 1376053124
Provider Name: HEALTH PRO LLC

Doing Business As: HEALTH PRO MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2125374

Address:
12187 BEACH BLVD STE 10
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 619-8687
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HEALTH PRO LLC is a primary care clinic center in Jacksonville, FL. HEALTH PRO LLC NPI is 1376053124. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Pro Medical.

The provider's business location address is:

12187 BEACH BLVD STE 10
JACKSONVILLE, FL
ZIP 32246-620
Phone: (904) 619-8687
Fax: (904) 677-4345

The provider's authorized official is Pedro Angel Gutierrez .
The authorized official title is Managing Member and has the following contact phone number (904) 619-8687.

The CLIA number assigned to this NPI record is 10D2125374 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2017 and was last updated on 10/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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

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