Organization Active NPI

Prohealth

  • Health Service Clinic/Center
  • Pensacola, FL
National Provider Identifier
1750823233
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ARNP9365811 Issued in FL
Legal business name
PROHEALTH
Practice address
1100 Airport
Blvd. B
Pensacola, FL 32504
Phone
(850) 549-3379
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Debbie Dufour
Title
Operations Officer
Phone
(850) 434-6168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ARNP9365811 FL Primary

Addresses

Primary practice location

1100 Airport
Blvd. B
Pensacola, FL 32504

Mailing address

3298 Summit Blvd.
Suite 33
Pensacola, OH 32503
Phone (850) 434-6168

National Provider Directory

National Provider Directory

Locations

1100 Airport Blvd
Ste B
Pensacola, FL 32504
Phone (850) 281-1679

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1750823233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD.",
            "address_2": "SUITE 33",
            "city": "PENSACOLA",
            "state": "OH",
            "postal_code": "32503",
            "telephone_number": "850-434-6168",
            "fax_number": "850-434-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 AIRPORT",
            "address_2": "BLVD. B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-549-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "DUFOUR",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "850-434-6168"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP9365811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.