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Organization
PROHEALTH SELECT, INC.
Active
Organization
PROHEALTH SELECT, INC.
Active
Other names
ProHealth Select, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BOURG (CEO)
(800) 488-0279
Entity
Organization
Contact information
Practice address
621 NW 53RD ST STE 330, BOCA RATON, FL 33487-8281
(800) 488-0279
(866) 902-8817
Mailing address
621 NW 53RD ST STE 330, BOCA RATON, FL 33487-8281
(800) 488-0279
(866) 902-8817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363A00000X
Physician Assistant
—
FL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
FL
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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