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PROGESS SUPPORT SERVICE INC. NPI 1033634340


NPI Information

NPI: 1033634340
Provider Name: PROGESS SUPPORT SERVICE INC.

Doing Business As: PROGROSIVE SUPPORT INC.

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
12320 NW 13TH CT
PEMBROKE PINES, FL
ZIP 33026
Phone: (786) 274-3971
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PROGESS SUPPORT SERVICE INC. is a developmental disabilities clinic center in Pembroke Pines, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). PROGESS SUPPORT SERVICE INC. NPI is 1033634340. The provider is registered as an organization entity type.
The provider Is Doing Business As Progrosive Support Inc..

The provider's business location address is:

12320 NW 13TH CT
PEMBROKE PINES, FL
ZIP 33026-817
Phone: (786) 274-3971

The provider's authorized official is Rosentle Roobertha Shaw .
The authorized official title is President and has the following contact phone number (786) 274-3971.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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