HEALTH PRO LLC (NPI# 1376053124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376053124 |
| Entity Type | Organization |
| Organization Name | HEALTH PRO LLC |
| Other Organization Name | HEALTH PRO MEDICAL |
| Practice Address |
12187 Beach Blvd Ste 10 Jacksonville FL 32246-0620 |
| Practice Telephone | 9046198687 |
| Practice Fax Number | 9046774345 |
| Mailing Telephone | 9046198687 |
| Mailing Fax Number | 9046774345 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | PEDRO ANGEL GUTIERREZ (MANAGING MEMBER) |
| Authorized Official Telephone | 9046198687 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Pro Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975402 | Health Pro LLC | Durable Medical Equipment & Medical Supplies | 3959 Electric Rd, Suite 400, Roanoke, VA 24018-4562 | 2006-06-29 |
| 1275925950 | Health Pro LLC | Pharmacy | 3011 W Grand Blvd, Suite 300, Detroit, MI 48202-3096 | 2015-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Health Pro LLC | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | Health Pro LLC | American Incorporators Ltd. Suite 606, 1220 N Market St, Wilmington, Delaware 19801 |
| Street Address |
12187 BEACH BLVD STE 10 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-0620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972049864 | Pedro Angel Gutierrez | Physician Assistant | 12187 Beach Blvd Ste 10, Jacksonville, FL 32246-0620 | 2017-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628351 | Ase Telehealth Inc | Clinic/Center | 5851 Timuquana Rd Ste 104, Jacksonville, FL 32210-7890 | 2020-08-02 |
| 1659840866 | Care4usmd | Clinic/Center | 14866 Old Saint Augustine Rd Ste 113, Jacksonville, FL 32258-2611 | 2018-11-16 |
| 1598278707 | Sunbelt Visiting Primary Care LLC | Clinic/Center | 8833 Perimeter Park Blvd Ste 901, Jacksonville, FL 32216-1113 | 2017-11-09 |
| 1881084390 | Jm Family Enterprises, Inc. | Clinic/Center | 1851 Talleyrand Ave, Jacksonville, FL 32206-5473 | 2015-02-04 |
| 1366790404 | Healthy U Medical Clinic LLC | Clinic/Center | 7208 Highway 238, Jacksonville, OR 97530-9131 | 2012-08-21 |
| 1154696417 | Duc Le Nguyen Md Pa | Clinic/Center | 803 Rosselle St, Jacksonville, FL 32204-2943 | 2012-03-19 |
| 1265704530 | Paul D. Zawatsky, Md, Pa | Clinic/Center | 10609 Old Saint Augustine Rd, Suite 4, Jacksonville, FL 32257-1164 | 2012-02-02 |
| 1619287182 | Down East Family Medicine, Pllc | Clinic/Center | 306 Brynn Marr Road, Jacksonville, NC 28546-7023 | 2010-10-18 |
| 1194033043 | Peoples Medical Centers Primary Care Inc | Clinic/Center | 4114 Sunbeam Rd Ste 102, Jacksonville, FL 32257-8870 | 2010-09-14 |
| 1669797700 | Goshen Medical Center Incorporated | Clinic/Center | 1200 Hargett St, Jacksonville, NC 28540-5933 | 2010-04-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
Please comment or provide details below to improve the information on HEALTH PRO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.