PRO-HEALTH WELLNESS CENTER INC. NPI 1902200124

NPI Information

NPI: 1902200124
Provider Name: PRO-HEALTH WELLNESS CENTER, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2279671

Address:
8300 W FLAGLER ST
SUITE 124
MIAMI, FL
ZIP 33144
Phone: (305) 223-6874
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PRO-HEALTH WELLNESS CENTER, INC. is a primary care clinic center in Miami, FL. PRO-HEALTH WELLNESS CENTER, INC. NPI is 1902200124. The provider is registered as an organization entity type.

The provider's business location address is:

8300 W FLAGLER ST
SUITE 124
MIAMI, FL
ZIP 33144-000
Phone: (305) 223-6874
Fax: (305) 223-6875

The provider's authorized official is Alexis Perez .
The authorized official title is President and has the following contact phone number (305) 223-6874.

The CLIA number assigned to this NPI record is 10D2279671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/17/2014.

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	261QP2000X	Clinic/Center	Physical Therapy		FLORIDA	No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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