Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pro Active Therapeutics

Organization Clinic/Center · NPI 1699378349

Pro Active Therapeutics is a Clinic/Center in Miami, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4280 SW 73rd Ave
Miami, FL 33155-4548
Phone: (305) 389-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1699378349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pedro Lopez — Manager · (305) 389-3978
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address11884 Sw 253rd St, Homestead, FL 33032-5863

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