Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pro Health Heritage Square LLC

Organization Family Medicine Physician · NPI 1801132386

Pro Health Heritage Square LLC is a Family Medicine Physician in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 E Oak St Ste A
Kissimmee, FL 34744-5837
Phone: (561) 843-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0069080 (FL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence ME19806 (FL)

Record details

NPI number1801132386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Dicapua — Mgrm · (561) 843-7720
NPI enumeratedJanuary 2, 2013
Last updated in NPPESApril 4, 2013
Mailing address2301 Nw 33rd Ct, Suite 11, Pompano Beach, FL 33069-1000

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