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1962635144
PROACTIVE CARE MEDICAL GROUP PA
SPRING HILL, FL
NPI
1962635144
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Entity Type
Organization
Authorized Contact
IVAN DIAZ
President
352-263-2831
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME94841)
Enumeration Date
2009-09-03
Last Update Date
2009-09-03
Business Address
PROACTIVE CARE MEDICAL GROUP PA
5196 MARINER BOULEVARD
SPRING HILL, FL 34609-1802
Phone number: 352-263-2831
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Mailing Address
PROACTIVE CARE MEDICAL GROUP PA
5196 MARINER BOULEVARD
SPRING HILL, FL 34609-1802
Phone number: 352-263-2831
Copy
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