Pro Health Mso, LLC
NPI #1427308055 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1427308055
- Entity Type
- Organization
- Organization Name
- Pro Health Mso, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 11, 2012
- Last Updated
- Sep 11, 2012
Practice Location
- Address
- 3100 17TH ST
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-6021
- Phone
- (407) 891-3500
Authorized Official
- Name
- JOSEPH J. DICAPUA
- Title
- CEO
- Phone
- (561) 843-7720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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