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

Prodigy Medical Professionals, LLC

Organization Contractor · NPI 1497977599

Prodigy Medical Professionals, LLC is a Contractor in Wellington, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

1621 Ripley Run
Wellington, FL 33414
Phone: (561) 512-6057
Fax: (561) 204-5093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence OT11509 (FL)

Record details

NPI number1497977599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Pine-Grimaldi — Managing Member (Co-Owner) · (561) 512-6057
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1621 Ripley Run, Wellington, FL 33414

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