Proactive Solutions Group Corp
Clinic/Center in Hallandale Beach, FL. Organization (NPI-2).
NPI number1962298505
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1962298505
- Entity type
- Organization (NPI-2)
- Legal business name
- Proactive Solutions Group Corp
- Organization subpart
- No
- Enumeration date
- Apr 18, 2025
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1000 W Pembroke Rd Ste 117Hallandale Beach, FL 33009-2178
Phone 863-451-1472
Mailing address
1000 W Pembroke Rd Ste 117Hallandale Beach, FL 33009-2178
Authorized official
Carlos Mirabal
Owner
8634511472
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