# PROACTIVE MEDICAL ALLIANCE

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

## Provider details

- **NPI number:** 1770764045
- **Authorized official:** MR. CHARLIE HOY (PRESIDENT)
- **Authorized official phone:** (850) 893-2245

## Contact information

- **Practice address:** 3769 TOM JOHN LN, TALLAHASSEE, FL 32309-6747
- **Practice address phone:** (850) 893-2245
- **Practice address fax:** (888) 843-1909
- **Mailing address:** 2910 KERRY FOREST PKWY, D4-02, TALLAHASSEE, FL 32309-6892
- **Mailing address phone:** (850) 893-2245
- **Mailing address fax:** (888) 843-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 11/15/2007