PRO-ACTIVE MEDICAL CENTER LLC NPI 1295395010

NPI Information

  • NPI: 1295395010
  • Provider Name: PRO-ACTIVE MEDICAL CENTER, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4591 E HIGHWAY 20 STE 201
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 279-4913

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NPI Details

PRO-ACTIVE MEDICAL CENTER, LLC is a general practice in Niceville, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRO-ACTIVE MEDICAL CENTER, LLC NPI is 1295395010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4591 E HIGHWAY 20 STE 201
NICEVILLE, FL
ZIP 32578-845
Phone: (850) 279-4913
Fax: (850) 279-4975

The provider's authorized official is Brian Lee Schuessler .
The authorized official title is Ceo and has the following contact phone number (850) 685-7734.

The enumeration date for this NPI number is 6/14/2019 and was last updated on 6/8/2020.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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