| Prohealth Select, Inc | |
|
621 Nw 53rd St Ste 330 Boca Raton FL 33487-8281 | |
| (800) 488-0279 | |
| (866) 902-8817 |
| Full Name | Prohealth Select, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 621 Nw 53rd St Ste 330, Boca Raton, Florida |
| Authorized Official Name and Position | Nancy Bourg (CEO) |
| Authorized Official Contact | 8004880279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Select, Inc 621 Nw 53rd St Ste 330 Boca Raton FL 33487-8281 Ph: (800) 488-0279 | Prohealth Select, Inc 621 Nw 53rd St Ste 330 Boca Raton FL 33487-8281 Ph: (800) 488-0279 |
| NPI Number | 1417485053 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417485053 | NPI | - | NPPES |
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