Organization
PRO HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMEL RODRIGUEZ APRN (AUTHORIZED OFFICIAL)
(786) 218-2569
Entity
Organization
Contact information
Practice address
4630 SW 99TH AVE, MIAMI, FL 33165-5761
(786) 218-2569
Mailing address
4630 SW 99TH AVE, MIAMI, FL 33165-5761
(786) 218-2569
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9311744
APRN9311744
FL
Enumeration date
03/23/2020
Last updated
03/23/2020
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