MEDICARE: PROHEALTH ADVISORS 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1720973423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROHEALTH ADVISORS LLC

Provider Business Mailing Address
First Line	:	11852 BATELLO LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7100
Country	:	US
Telephone Number	:	689-269-9775
Fax Number	:	407-386-6670

Provider Business Practice Location Address
First Line	:	5822 S SEMORAN BLVD BLDG A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4812
Country	:	US
Telephone Number	:	689-269-9775
Fax Number	:	407-386-6670

Authorized Official
Title or Position	:	OWNER
Name	:	ANGEL COLON-MOLERO
Credential	:	MD
Telephone Number	:	305-968-0811

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	06/27/2025

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