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Organization
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES , LLC
Active
Organization
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES , LLC
Active
Parent organization
PROGRESSIVE ACUTE CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE ACUTE CARE, LLC
Authorized official
DONNA D VARNADO (VP BUSINESS SERVICES)
(985) 624-7401
Entity
Organization
Contact information
Practice address
1100 ANDRE ST STE 101, NEW IBERIA, LA 70563-2159
(337) 369-9309
Mailing address
2210 7TH ST, MANDEVILLE, LA 70471-1872
(985) 624-7401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
03/27/2013
Last updated
04/24/2013
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