| Proactive Care Medical Group Pa | |
|
5196 Mariner Boulevard Spring Hill FL 34609-1802 | |
| (352) 263-2831 | |
| Not Available |
| Full Name | Proactive Care Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5196 Mariner Boulevard, Spring Hill, Florida |
| Authorized Official Name and Position | Ivan Diaz (PRESIDENT) |
| Authorized Official Contact | 3522632831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Care Medical Group Pa 5196 Mariner Boulevard Spring Hill FL 34609-1802 Ph: (352) 263-2831 | Proactive Care Medical Group Pa 5196 Mariner Boulevard Spring Hill FL 34609-1802 Ph: (352) 263-2831 |
| NPI Number | 1962635144 |
|---|---|
| Provider Enumeration Date | 09/03/2009 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962635144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94841 (Florida) | Primary |
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