Health Pro LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEALTH PRO LLC

Practice address

12187 Beach Blvd Ste 10
Jacksonville, FL 32246-0620

Phone

(904) 619-8687

Fax

(904) 677-4345

NPI assigned

Oct 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Angel Gutierrez, PA-CNPI 1972049864

Title

Managing Member

Phone

(904) 619-8687

Specialties & licenses 1

Addresses

Other names 1

• Health Pro Medical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Angel Gutierrez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1972049864
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1376053124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-619-8687",
            "fax_number": "904-677-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-619-8687",
            "fax_number": "904-677-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-619-8687",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Pro Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Care Consultants
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• Health Pointe Jacksonville, LLC
• Health Solutions, LLC
• Health Suite Inc
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• Healthcare Consulting & Solutions Services, LLC
• Healthcare Loyalty

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.