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

Proactive Care Medical Group PA

Organization Family Medicine Physician · NPI 1962635144

Proactive Care Medical Group PA is a Family Medicine Physician in Spring Hill, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5196 Mariner Blvd
Spring Hill, FL 34609-1802
Phone: (352) 263-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME94841 (FL)

Record details

NPI number1962635144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Diaz — President · (352) 263-2831
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009
Mailing address5196 Mariner Boulevard, Spring Hill, FL 34609-1802

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