Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Prodigy Medical Professionals, LLC

Contractor in Wellington, FL · enumerated 2007 · authorized official Andrea Pine-Grimaldi, Managing Member (Co-Owner).

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497977599

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Registry record

Entity type Organization (Type 2)

Legal business name Prodigy Medical Professionals, LLC

Practice address 1621 Ripley Run, Wellington, FL, 33414

Phone (561) 512-6057

Fax (561) 204-5093

Enumeration date May 2, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

171W00000X Contractor Other Service Providers · License OT11509 (FL) Primary

Authorized official

Name Andrea Pine-Grimaldi

Title Managing Member (Co-Owner)

Phone (561) 512-6057

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Prodigy Medical Professionals, LLC located?

The practice location on file with NPPES is in Wellington, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.