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PROHEALTH FAMILY PHYSICIANS
NPI 1336189190
Family Medicine in Saint Cloud, FL

Active since June 08, 2006CLIA 10D0299033 · Waiver
3100 17TH ST, SAINT CLOUD, FL 34769(407) 892-0009(407) 892-3285 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Apr 13, 2022 (2 updates tracked since 2022).

About Prohealth Family Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH FAMILY PHYSICIANS (NPI 1336189190) is a healthcare organization registered as a family medicine in Saint Cloud, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists John Frederick Wilker, President, as its authorized official.

NPPES Registry Identity

NPI1336189190
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE-ST CLOUD, INC.
Location Address3100 17TH STSaint Cloud, FL 34769-6021
Mailing Address3100 17th StSaint Cloud, FL 34769-6021 · (407) 892-0009 · Fax (407) 892-3285
Phone(407) 892-0009
Fax(407) 892-3285
Organization SubpartNo
Authorized OfficialJohn Frederick WilkerPresident · (407) 892-0009
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1336189190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0036943
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3100 17TH ST, Saint Cloud, FL 34769
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Other Names 1

Doing Business AsProhealth Family Physicians

Other Identifiers 1

Other34984FL · Blue Cross Blue Sheild

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0299033

Family Practice - St Cloud Inc Dba Prohealth Family Physicians · Saint Cloud, FL
Active · expires Nov 7, 2027
CLIA Number10D0299033
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorSangeeta Hans
Laboratory Phone(407) 892-0009
Laboratory LocationFamily Practice - St Cloud Inc Dba Prohealth Family Physicians3100 17th St Ste A, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUKMINI GANGAPERSAUD FNP
Nurse Practitioner (Family)
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
SIERRA A HOBBS PA-C
Physician Assistant (Medical)
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
DR. KIMBERLY RAE STEIN DO
Family Medicine
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
NIKOLE STEPHENS
Family Medicine
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
DAVID PAUL THORNE M.D.
Family Medicine
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
PRO HEALTH MSO, LLC
Health Maintenance Organization
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 891-3500
ILA ANITA MORIN PA-C
Physician Assistant (Medical)
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 892-0009
MS. KELLEY GRAYSON BRENNER PA-C
Physician Assistant (Medical)
3100 17TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 891-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Practice-St Cloud, Inc.'s NPI number?

The NPI number for Family Practice-St Cloud, Inc. is 1336189190. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Prohealth Family Physicians.

Where is Family Practice-St Cloud, Inc. located?

Family Practice-St Cloud, Inc. is located at 3100 17th St, Saint Cloud, FL 34769. The listed phone number is (407) 892-0009.

What is Family Practice-St Cloud, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Practice-St Cloud, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0299033) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Practice-St Cloud, Inc. accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Family Practice-St Cloud, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Practice-St Cloud, Inc. was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.