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PROHEALTH SELECT INC. NPI 1417485053


NPI Information

NPI: 1417485053
Provider Name: PROHEALTH SELECT, INC.

Other Name: PROHEALTH SELECT, INC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
621 NW 53RD ST STE 330
BOCA RATON, FL
ZIP 33487
Phone: (800) 488-0279
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PROHEALTH SELECT, INC. is a nurse practitioner in Boca Raton, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PROHEALTH SELECT, INC. NPI is 1417485053. The provider is registered as an organization entity type.
The provider Other Name Is Prohealth Select, Inc.

The provider's business location address is:

621 NW 53RD ST STE 330
BOCA RATON, FL
ZIP 33487-281
Phone: (800) 488-0279
Fax: (866) 902-8817

The provider's authorized official is Nancy Bourg .
The authorized official title is Ceo and has the following contact phone number (800) 488-0279.

The enumeration date for this NPI number is 5/26/2017 and was last updated on 9/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2363A00000XPhysician AssistantFLORIDANo
3363AM0700XPhysician AssistantMedicalNo
4363AS0400XPhysician AssistantSurgicalNo
5363L00000XNurse PractitionerFLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.