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

Pro Health Heritage Square LLC

Organization Family Medicine Physician · NPI 1801132386

Pro Health Heritage Square LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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