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Organization
PROGRESSIVE MEDICAL CENTER INC
Active
Organization
PROGRESSIVE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL GOMEZ (PRESIDENT)
(305) 465-9379
Entity
Organization
Contact information
Practice address
12595 SW 137TH AVE STE 110, MIAMI, FL 33186-4218
(305) 465-9379
(305) 203-4672
Mailing address
12595 SW 137TH AVE STE 110, MIAMI, FL 33186-4218
(305) 465-9379
(305) 203-4672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
01/08/2025
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