Proactive Md Fl Llc

LBN: Proactive Md Fl Llc
Proactive Md Fl Llc is an health care organization with primary practice located at 124 Allawood Ct , Simpsonville SC 29681-6207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Proactive Md Fl Llc can be contacted via phone (864) 501-0751, or through Crumpler, Jason via phone (864) 395-2031.

Contact Information

Primary practice address
124 Allawood Ct Simpsonville SC 29681-6207
Phone: (864) 501-0751
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crumpler, Jason Doctor of Medicine (MD)
Phone: (864) 395-2031

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1386490126
LBN Legal business name Proactive Md Fl Llc
DBA Doing business as
Authorized official Crumpler, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2024
Last updated Apr 24th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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