| Progressive Medical Community | |
|
1717 N Clyde Morris Blvd Ste 120 Daytona Beach FL 32117-5532 | |
| (386) 777-3721 | |
| (877) 325-2429 |
| Full Name | Progressive Medical Community |
|---|---|
| Speciality | Family Medicine |
| Location | 1717 N Clyde Morris Blvd Ste 120, Daytona Beach, Florida |
| Authorized Official Name and Position | David Billmeier (OWNER) |
| Authorized Official Contact | 3867773721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Community 1717 N Clyde Morris Blvd Ste 120 Daytona Beach FL 32117-5532 Ph: (386) 777-3721 | Progressive Medical Community 1717 N Clyde Morris Blvd Ste 120 Daytona Beach FL 32117-5532 Ph: (386) 777-3721 |
| NPI Number | 1982224390 |
|---|---|
| Provider Enumeration Date | 04/26/2020 |
| Last Update Date | 09/24/2022 |
| Medicare PECOS PAC ID | 9931521010 |
|---|---|
| Medicare Enrollment ID | O20200810001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982224390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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