Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROACTIVE MEDICAL GROUP LLC
Active
Organization
PROACTIVE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ALEXANDER ZAMBRANO (OWNER)
(954) 938-2843
Entity
Organization
Contact information
Practice address
5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308-3244
(954) 938-2843
(954) 200-6689
Mailing address
5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308-3244
(954) 938-2843
(954) 200-6689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U5083
TEXAS MEDICAL LICENSE
TX
Enumeration date
08/02/2022
Last updated
01/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up