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NPI Code Detail

MEDICARE: PROSPER HEALTH MEDICAL SERVICES, P.A.

MEDICARE: PROSPER HEALTH MEDICAL SERVICES, P.A.
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3103T00000XPsychologist

General Provider Information

NPI Number : 1710752456
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROSPER HEALTH MEDICAL SERVICES, P.A.
Provider Business Mailing Address
First Line : 382 COCONUT CIR
Second Line :
City : WESTON
State : FL
Zip : 33326-3317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 382 COCONUT CIR
Second Line :
City : WESTON
State : FL
Zip : 33326-3317
Country : US
Telephone Number : 954-366-9978
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : BENJAMIN SCHECTER
Credential :
Telephone Number : 954-366-9978
Provider Enumeration Date : 11/22/2023
Last Update Date : 11/22/2023

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Directions to “PROSPER HEALTH MEDICAL SERVICES, P.A. ” Practice Location

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