PRO HEALTH HERITAGE SQUARE LLC


Address: 901 E Oak St, Suite A, Kissimmee, FL 34744-5837
Phone: 5618437720

PRO HEALTH HERITAGE SQUARE LLC (NPI# 1801132386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801132386
Entity Type Organization
Organization Name PRO HEALTH HERITAGE SQUARE LLC
Practice Address 901 E Oak St
Suite A
Kissimmee
FL 34744-5837
Mailing Address 2301 Nw 33rd Ct
Suite 11
Pompano Beach
FL 33069-1000
Practice Telephone 5618437720
Mailing Telephone 9545868058
Mailing Fax Number 9542831083
Enumeration Date 2013-01-02
Last Update Date 2013-04-04
Authorized Official Name JOSEPH J. DICAPUA (MGRM)
Authorized Official Telephone 5618437720
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
ME19806 FL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine ME0069080 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 901 E OAK ST
SUITE A
City KISSIMMEE
State FL
Zip Code 34744-5837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942281944 Dines Chandra Das Internal Medicine 901 E Oak St, Ste A, Kissimmee, FL 34744-5837 2005-11-08
1881776995 Osceola Cardio-pulmonary Clinic Dc Das Md Pa Internal Medicine 901 E Oak St, Suite A, Kissimmee, FL 34744-5837 2006-10-19
1134181969 Renu P Das Psychiatry & Neurology 901 E Oak St, Ste A, Kissimmee, FL 34744-5837 2006-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003416843 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 2465 N Orange Blossom Trail, Kissimmee, FL 34744 2020-10-30
1871126722 Orlando Therapy Services LLC Speech-Language Pathologist 2815 Flamvoyan Street, Kissimmee, FL 34744 2020-02-19
1083197941 Marilyn Mendez Behavior Technician 678 Cornestone Dr, Kissimmee, FL 34744 2018-09-07
1255827309 St.cloud Pharmacy&wellness Center Pharmacy St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 2018-07-02
1518454966 Nationwide Vision Center, LLC Technician/Technologist 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 2018-04-20
1831698661 Ramirez and Poulos M.d. P.a. Ophthalmology 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 2018-02-07
1548702517 Laura L Wheeler Counselor 600 N Thacker, D63, Kissimmee, FL 34744 2016-11-08
1275992950 Judith Ambrose Case Management 1320 N Main Street, Suite B, Saint Cloud, FL 34744 2016-02-23
1043685258 Oreida Hernandez De Morissette Case Management 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 2015-12-14
1780062232 Martin Alfredo Rosell Hearing Instrument Specialist 806 N Main Street, Kissimmee, FL 34744 2015-05-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043835473 Adventist Health System Sunbelt, Inc Family Medicine 2488 E Irlo Bronson Memorial Hwy Ste 204, Kissimmee, FL 34744-4908 2020-06-11
1386268993 Florida Advanced Medicine LLC Family Medicine 2522 Oak Run Blvd, Kissimmee, FL 34744-3017 2020-05-31
1053932202 Willka Vanessa Parra Family Medicine 1997 Willow Wood Dr # De, Kissimmee, FL 34746-3780 2020-04-29
1053932350 Mariana Carolina Diaz Family Medicine 3141 Pine Branch Dr Apt 103, Kissimmee, FL 34741-3501 2020-04-28
1124649561 Scarlet Benilde Gonzalez Family Medicine 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 2020-04-27
1952872061 Olga Lorena Seoanes Family Medicine 2068 E Osceola Pkwy, Kissimmee, FL 34743-8602 2018-12-16
1457822066 Surujdai Pooransingh Family Medicine 354 Aylesbury Ct, Kissimmee, FL 34758-4298 2018-12-07
1174011571 Summit Health Family Practice LLC Family Medicine 507 Berry James Ct, Kissimmee, FL 34744-8514 2018-05-01
1932613882 Mi Doctor LLC Family Medicine 4611 Cumbrian Lakes Dr, Kissimmee, FL 34746-6717 2017-11-29
1013360395 Derly Jean-noel Family Medicine 3380 Wilderness Trl, Kissimmee, FL 34746-2926 2016-07-21
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Competitor

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City KISSIMMEE
Zip Code 34744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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