NPIMap

Organization Active NPI

Proactive Health Center, Corp.

  • Case Management Agency
  • Lehigh Acres, FL
National Provider Identifier
1225527690
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROACTIVE HEALTH CENTER, CORP.
Practice address
3400 Lee Blvd Unit 111
Lehigh Acres, FL 33971-1309
Phone
(239) 200-1970
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Otto Marques
Title
Vice President
Phone
(239) 200-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3400 Lee Blvd Unit 111
Lehigh Acres, FL 33971-1309

Mailing address

3400 Lee Blvd Unit 111
Lehigh Acres, FL 33971-1309
Phone (239) 200-1970

National Provider Directory

National Provider Directory

Locations

1275 W 47th Pl
Ste 407
Hialeah, FL 33012
Phone (786) 409-3231

3400 Lee Blvd
Ste 111
Lehigh Acres, FL 33971
Phone (239) 200-1970

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1225527690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD UNIT 111",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711309",
            "telephone_number": "239-200-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEE BLVD UNIT 111",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711309",
            "telephone_number": "239-200-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTH CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-200-1970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.