PRO HEALTH HERITAGE SQUARE LLC

KISSIMMEE, FL
NPI1801132386
Entity TypeOrganization
Authorized ContactJOSEPH J. DICAPUA
Mgrm
561-843-7720
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME0069080)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  ME19806)
Enumeration Date2013-01-02
Last Update Date2013-04-04
Business Address
PRO HEALTH HERITAGE SQUARE LLC
901 E OAK ST SUITE A
KISSIMMEE, FL 34744-5837
Phone number: 561-843-7720
Mailing Address
PRO HEALTH HERITAGE SQUARE LLC
2301 NW 33RD CT SUITE 11
POMPANO BEACH, FL 33069-1000
Phone number: 954-586-8058