Organization
PROVEN THEORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A LOZANO (CEO)
(321) 230-7946
Entity
Organization
Contact information
Practice address
215 SE 8TH AVE, FORT LAUDERDALE, FL 33301-3644
(321) 230-7946
Mailing address
18582 OLIVE RD, FORT MYERS, FL 33967-6148
(321) 230-7946
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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