Pro Health Network LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRO HEALTH NETWORK LLC

Practice address

2301 NW 33Rd CT
Suite 111
Pompano Beach, FL 33069-1000

Phone

(954) 586-8058

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Jospeh Dicapua

Title

Managing Member

Phone

(561) 843-7720

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1720416571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW 33RD CT",
            "address_2": "SUITE 111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NW 33RD CT",
            "address_2": "SUITE 111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691000",
            "telephone_number": "954-586-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "DICAPUA",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-843-7720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.