| Progressive Family Care Llc | |
|
3550 W Waters Ave Ste 260 Tampa FL 33614-2773 | |
| (813) 443-1364 | |
| (813) 443-2592 |
| Full Name | Progressive Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3550 W Waters Ave Ste 260, Tampa, Florida |
| Authorized Official Name and Position | Michael Smith (PRESIDENT) |
| Authorized Official Contact | 8137702782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Family Care Llc 3550 W Waters Ave Ste 260 Tampa FL 33614-2773 Ph: (813) 443-1364 | Progressive Family Care Llc 3550 W Waters Ave Ste 260 Tampa FL 33614-2773 Ph: (813) 443-1364 |
| NPI Number | 1629885462 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Medicare PECOS PAC ID | 0840728184 |
|---|---|
| Medicare Enrollment ID | O20250114001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629885462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose W Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639194087 PECOS PAC ID: 3173659695 Enrollment ID: I20100409000013 |
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