PROHEALTH SELECT, INC
NPI 1417485053
Nurse Practitioner in Boca Raton, FL

Q: What is Prohealth Select, Inc.'s NPI number?

The NPI number for Prohealth Select, Inc. is 1417485053. It was assigned to this organization in the NPPES registry on May 26, 2017. The provider is also known as Prohealth Select, Inc.

Q: What is Prohealth Select, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 26, 2017

621 NW 53RD ST STE 330, BOCA RATON, FL 33487(800) 488-0279(866) 902-8817 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 22, 2020, Oct 29, 2018 and 2 more (5 updates tracked since 2017).

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About Prohealth Select, Inc NPPES

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

PROHEALTH SELECT, INC (NPI 1417485053) is a healthcare organization registered as a nurse practitioner in Boca Raton, Florida and active in the NPI registry since May 2017. The organization lists Nancy Bourg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417485053

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROHEALTH SELECT, INC.

Location Address621 NW 53RD ST STE 330Boca Raton, FL 33487-8281

Mailing Address621 Nw 53rd St Ste 330Boca Raton, FL 33487-8281 · (800) 488-0279 · Fax (866) 902-8817

Phone(800) 488-0279

Fax(866) 902-8817

Organization SubpartNo

Authorized OfficialNancy BourgCeo · (800) 488-0279

Enumeration DateMay 26, 2017

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1417485053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

621 NW 53RD ST STE 330, Boca Raton, FL 33487

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Other Names 1

Other NameProhealth Select, Inc

Other Providers at the Same Location NPPES 2

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

MARY ANN KOGAN

Physician Assistant

621 NW 53RD ST STE 330
BOCA RATON, FL 33487

Palm Beach County (800) 488-0279

PA SURGICAL INC

Physician Assistant (Surgical)

621 NW 53RD ST STE 330
BOCA RATON, FL 33487

Palm Beach County (561) 440-7612

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 Prohealth Select, Inc.'s NPI number?

The NPI number for Prohealth Select, Inc. is 1417485053. It was assigned to this organization in the NPPES registry on May 26, 2017. The provider is also known as Prohealth Select, Inc.

Where is Prohealth Select, Inc. located?

Prohealth Select, Inc. is located at 621 NW 53rd St Ste 330, Boca Raton, FL 33487. The listed phone number is (800) 488-0279.

What is Prohealth Select, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Prohealth Select, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.