Organization · Type 2 NPI
Pro-Active Medical Center, LLC
General Practice Physician · Niceville, FL
NPI number
1295395010
Active
Practice location
4591 E Highway 20 Ste 201
Niceville, FL 32578-8845
Fax (850) 279-4975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1295395010
Pro-Active Medical Center, LLC's National Provider Identifier is 1295395010, issued on Jun 14, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Niceville, FL. The record was last updated on Jun 8, 2020.