Organization Active NPI

Prohealth Solutions. LLC

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1699367417
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROHEALTH SOLUTIONS. LLC
Practice address
250 N Belcher Rd Ste 100a
Clearwater, FL 33765-2622
Phone
(727) 744-7189
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Wafaa Gandarillas
Title
Owner
Phone
(727) 744-7189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

250 N Belcher Rd Ste 100a
Clearwater, FL 33765-2622

Mailing address

250 N Belcher Rd Ste 100a
Clearwater, FL 33765-2622
Phone (727) 744-7189

National Provider Directory

National Provider Directory

Locations

6703 14th St W
Ste 102
Bradenton, FL 34207
Phone (941) 756-1253

6703 14th St W
Ste 103
Bradenton, FL 34207

250 N Belcher Rd
Ste 100A
Clearwater, FL 33765
Phone (727) 744-7189

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1699367417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N BELCHER RD STE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652622",
            "telephone_number": "727-744-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N BELCHER RD STE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652622",
            "telephone_number": "727-744-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH SOLUTIONS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "GANDARILLAS",
        "authorized_official_first_name": "WAFAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-744-7189"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.