Proactive Solutions Group Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROACTIVE SOLUTIONS GROUP CORP

Practice address

1000 W Pembroke Rd Ste 117
Hallandale Beach, FL 33009-2178

Phone

(863) 451-1472

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Carlos Mirabal

Title

Owner

Phone

(863) 451-1472

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1962298505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 117",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 117",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092178",
            "telephone_number": "863-451-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SOLUTIONS GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MIRABAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-451-1472"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.