Prodigy Medical Professionals, Llc Valid NPI
Organization · Contractor · Wellington, FL
- NPI
- 1497977599
- Type
- Organization (Type 2)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- License number
- OT11509 (FL)
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Practice location
1621 Ripley Run
Wellington, FL 33414
(561) 512-6057