Provider Demographics
NPI:1972502912
Name:PRO HEALTH CARE INC
Entity Type:Organization
Organization Name:PRO HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-891-2520
Mailing Address - Street 1:1948 NE 123RD ST
Mailing Address - Street 2:STE 107
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2800
Mailing Address - Country:US
Mailing Address - Phone:305-891-2520
Mailing Address - Fax:305-891-5754
Practice Address - Street 1:1948 NE 123RD ST
Practice Address - Street 2:STE 107
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2800
Practice Address - Country:US
Practice Address - Phone:305-891-2520
Practice Address - Fax:305-891-5754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty