Organization
PROACTIVE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA LUCIA MARTINEZ (OWNER/MANAGER)
(786) 223-5369
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, SUITE 210, MIRAMAR, FL 33029-5593
(786) 223-5669
Mailing address
1951 SW 172ND AVE, SUITE 210, MIRAMAR, FL 33029-5593
(786) 223-5669
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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