# PRO-ACTIVE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295395010
- **Authorized official:** DR. BRIAN LEE SCHUESSLER DC (CEO)
- **Authorized official phone:** (850) 685-7734

## Contact information

- **Practice address:** 4591 E HIGHWAY 20 STE 201, NICEVILLE, FL 32578-8845
- **Practice address phone:** (850) 279-4913
- **Practice address fax:** (850) 279-4975
- **Mailing address:** 4591 E HIGHWAY 20 STE 201, NICEVILLE, FL 32578-8845
- **Mailing address phone:** (850) 279-4913
- **Mailing address fax:** (850) 279-4975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 06/08/2020