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HEALTH PRO MEDICAL
NPI 1376053124
Clinic/Center - Primary Care in Jacksonville, FL

Active since October 06, 2017CLIA 10D2125374 · Waiver
12187 BEACH BLVD STE 10, JACKSONVILLE, FL 32246(904) 619-8687(904) 677-4345 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health Pro Medical NPPES

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

HEALTH PRO MEDICAL (NPI 1376053124) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Pedro Angel Gutierrez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376053124
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTH PRO LLC
Location Address12187 BEACH BLVD STE 10Jacksonville, FL 32246-0620
Mailing Address12187 Beach Blvd Ste 10Jacksonville, FL 32246-0620 · (904) 619-8687 · Fax (904) 677-4345
Phone(904) 619-8687
Fax(904) 677-4345
Organization SubpartNo
Authorized OfficialPedro Angel GutierrezManaging Member · (904) 619-8687
Enumeration DateOctober 6, 2017
✔ NPI 1376053124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12187 BEACH BLVD STE 10, Jacksonville, FL 32246
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Other Names 1

Doing Business AsHealth Pro Medical

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 10D2125374

Health Pro Medical · Jacksonville, FL
Active · expires Feb 6, 2027
CLIA Number10D2125374
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorCiceron V. Lazo
Laboratory Phone(904) 619-8687
Laboratory LocationHealth Pro Medical8016 Atlantic Blvd, Jacksonville, FL 32211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PEDRO ANGEL GUTIERREZ PHYSICIAN ASSISTANT
Physician Assistant
12187 BEACH BLVD STE 10
JACKSONVILLE, FL 32246
Duval County (904) 619-8687

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 Health Pro LLC's NPI number?

The NPI number for Health Pro LLC is 1376053124. It was assigned to this organization in the NPPES registry on October 6, 2017. The provider is doing business as Health Pro Medical.

Where is Health Pro LLC located?

Health Pro LLC is located at 12187 Beach Blvd Ste 10, Jacksonville, FL 32246. The listed phone number is (904) 619-8687.

What is Health Pro LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Health Pro LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2125374) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Pro LLC was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.