# PROVEN THEORY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447105028
- **Authorized official:** MIGUEL A LOZANO (CEO)
- **Authorized official phone:** (321) 230-7946

## Contact information

- **Practice address:** 215 SE 8TH AVE, FORT LAUDERDALE, FL 33301-3644
- **Practice address phone:** (321) 230-7946
- **Mailing address:** 18582 OLIVE RD, FORT MYERS, FL 33967-6148
- **Mailing address phone:** (321) 230-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2026
- **Last updated:** 02/28/2026