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PROGRESSIVE MEDICAL GROUP PA NPI 1285714394


NPI Information

NPI: 1285714394
Provider Name: PROGRESSIVE MEDICAL GROUP PA

Doing Business As: WEST BAY CHIROPRACTIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8730 FOUNTAIN AVE
TAMPA, FL
ZIP 33615
Phone: (813) 885-6001
Get Directions

PROGRESSIVE MEDICAL GROUP PA is a clinic center in Tampa, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROGRESSIVE MEDICAL GROUP PA NPI is 1285714394. The provider is registered as an organization entity type.
The provider Is Doing Business As West Bay Chiropractic.

The provider's business location address is:

8730 FOUNTAIN AVE
TAMPA, FL
ZIP 33615-802
Phone: (813) 885-6001
Fax: (813) 885-6874

The provider's authorized official is William Lichter .
The authorized official title is President and has the following contact phone number (813) 885-6001.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/1/2013.


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
1261Q00000XClinic/CenterCH6815FLORIDAYes

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
155229MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2380716900MEDICAIDFLORIDA
3U10287MEDICARE UPINFLORIDA

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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