Organization
PROHEALTH MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R AFONSO MANSO (PRESIDENT)
(407) 914-7189
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 2K2, MIAMI, FL 33172-7014
(407) 914-7189
(786) 334-6140
Mailing address
175 FONTAINEBLEAU BLVD STE 2K2, MIAMI, FL 33172-7014
(786) 334-6094
(786) 334-6140
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
10/22/2024
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