Proactive Medical Diagnostics

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME 102562 Issued in FL

Legal business name

PROACTIVE MEDICAL DIAGNOSTICS

Practice address

3001 N Rocky Point Dr
Ste 200
Tampa, FL 33607-5802

Phone

(800) 268-1346

Fax

(800) 809-6184

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nizar Souayah, MD

Title

Medical Director

Phone

(800) 268-1346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1851426274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075802",
            "telephone_number": "800-268-1346",
            "fax_number": "800-809-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075802",
            "telephone_number": "800-268-1346",
            "fax_number": "800-809-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SOUAYAH",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-268-1346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 102562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Miguel Pro Landazuri, MD
• Pro Medical & Rehabilitation Center Inc
• Pro-Active Physical Therapy, Inc.
• Pro-Tech Mobility LLC
• Proactive Dental LLC (A Caring Dentist)
• Proactive Rehab,LLC
• Proactive Solutions Therapy, LLC
• John Christian Probst
• Procare Talent Network, Inc
• Procision Vision, LLC (Apex Eyecare)

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.