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

Prohealth Select, Inc

Organization Clinic/Center · NPI 1417485053

Prohealth Select, Inc is a Clinic/Center in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

621 NW 53rd St Ste 330
Boca Raton, FL 33487-8281
Phone: (800) 488-0279
Fax: (866) 902-8817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (FL)
Clinic/Center Taxonomy 261Q00000X
Physician Assistant Taxonomy 363A00000X (FL)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1417485053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Bourg — Ceo · (800) 488-0279
Other names Prohealth Select, Inc
NPI enumeratedMay 26, 2017
Last updated in NPPESJuly 21, 2022
Certification dateSeptember 22, 2020
Mailing address621 Nw 53rd St Ste 330, Boca Raton, FL 33487-8281

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