| Proactive Medical Diagnostics | |
|
3001 N Rocky Point Dr Ste 200 Tampa FL 33607-5802 | |
| (800) 268-1346 | |
| (800) 809-6184 |
| Full Name | Proactive Medical Diagnostics |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3001 N Rocky Point Dr, Tampa, Florida |
| Authorized Official Name and Position | Nizar Souayah (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8002681346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Medical Diagnostics 3001 N Rocky Point Dr Ste 200 Tampa FL 33607-5802 Ph: (800) 268-1346 | Proactive Medical Diagnostics 3001 N Rocky Point Dr Ste 200 Tampa FL 33607-5802 Ph: (800) 268-1346 |
| NPI Number | 1851426274 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851426274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 102562 (Florida) | Primary |
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