| Pro-active Medical Center, Llc | |
|
4591 E Highway 20 Ste 201 Niceville FL 32578-8845 | |
| (850) 279-4913 | |
| (850) 279-4975 |
| Full Name | Pro-active Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 4591 E Highway 20 Ste 201, Niceville, Florida |
| Authorized Official Name and Position | Brian Lee Schuessler (CEO) |
| Authorized Official Contact | 8506857734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-active Medical Center, Llc 4591 E Highway 20 Ste 201 Niceville FL 32578-8845 Ph: (850) 279-4913 | Pro-active Medical Center, Llc 4591 E Highway 20 Ste 201 Niceville FL 32578-8845 Ph: (850) 279-4913 |
| NPI Number | 1295395010 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295395010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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