MEDICARE: PRODIGY HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1326787268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRODIGY HEALTH LLC

Provider Business Mailing Address
First Line	:	410 S WARE BLVD STE 815
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4456
Country	:	US
Telephone Number	:	813-492-0370
Fax Number	:	813-374-4546

Provider Business Practice Location Address
First Line	:	410 S WARE BLVD STE 815
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4456
Country	:	US
Telephone Number	:	813-492-0370
Fax Number	:	813-374-4546

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	DR. JUSTIN ALBERTO RIOS
Credential	:	DC
Telephone Number	:	813-492-0370

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	06/30/2022

Similar Medicare Providers

1336442466 — DR. RAJNARINE ROOPNARINE DC, MSN,APRN, FNP-BC
Practice Location Address:

410 S WARE BLVD STE 824
TAMPA, FL
33619-4456

Practice Phone: 813-419-1399
Practice Fax: 813-580-7161

1285204990 — REVIVE HEALTH ASSOCIATES, LLC
Practice Location Address:

410 S WARE BLVD STE 824
TAMPA, FL
33619-4456

Practice Phone: 813-419-1399
Practice Fax: 813-580-7161

1578147070 — VERONICA JENKINS M.S, RMHCI
Practice Location Address:

410 S WARE BLVD STE 805
TAMPA, FL
33619-4456

Practice Phone: 813-204-0560
Practice Fax:

1922758820 — TRIANA MONEZ BOGGS APRN, CNM
Practice Location Address:

410 S WARE BLVD STE 809
TAMPA, FL
33619-4456

Practice Phone: 813-365-9454
Practice Fax: 813-798-6422

1730806456 — ZENITH NEUROPSYCHOLOGY LLC
Practice Location Address:

410 S WARE BLVD STE 814
TAMPA, FL
33619-4456

Practice Phone: 813-483-9989
Practice Fax:

1487590568 — REVITACARE HEALTH, LLC
Practice Location Address:

410 S WARE BLVD STE 824
TAMPA, FL
33619-4456

Practice Phone: 813-328-5941
Practice Fax:

Directions to “PRODIGY HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.