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Organization

PRO HEALTH MSO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH J. DICAPUA (CEO)
(561) 843-7720
Entity
Organization

Contact information

Practice address
3100 17TH ST, SAINT CLOUD, FL 34769-6021
(407) 891-3500
Mailing address
5215 COCONUT CREEK PKWY, MARGATE, FL 33063-3916
(561) 843-7720

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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  • Eligibility checks
  • EDI platform