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PROACTIVE MEDICAL GROUP LLC
NPI 1225765241
Internal Medicine in Fort Lauderdale, FL

Active since August 02, 2022CLIA 10D2284785 · Waiver
5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308(954) 938-2843(954) 200-6689 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 1, 2024, Aug 2, 2022 (2 updates tracked since 2022).

About Proactive Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE MEDICAL GROUP LLC (NPI 1225765241) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Ricardo Alexander Zambrano, Owner, as its authorized official.

NPPES Registry Identity

NPI1225765241
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROACTIVE MEDICAL GROUP LLC
Location Address5353 N FEDERAL HWY STE 400Fort Lauderdale, FL 33308-3244
Mailing Address5353 N Federal Hwy Ste 400Fort Lauderdale, FL 33308-3244 · (954) 938-2843 · Fax (954) 200-6689
Phone(954) 938-2843
Fax(954) 200-6689
Organization SubpartNo
Authorized OfficialRicardo Alexander ZambranoOwner · (954) 938-2843
Enumeration DateAugust 2, 2022
Last NPPES UpdateJanuary 1, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2024
✔ NPI 1225765241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5353 N FEDERAL HWY STE 400, Fort Lauderdale, FL 33308
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Other Identifiers 1

OtherU5083TX · Texas Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2284785

Proactive Medical Group LLC · Fort Lauderdale, FL
Active · expires Jun 27, 2027
CLIA Number10D2284785
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorJose Gustavo Cevallos Yepez
Laboratory Phone(954) 938-2843
Laboratory LocationProactive Medical Group LLC5353 N Federal Highway, Suite 400, 406, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERMATOLOGY AND COSMETIC CENTER, P.A.
Dermatology (MOHS-Micrographic Surgery)
5353 N FEDERAL HWY STE 400
FORT LAUDERDALE, FL 33308
Broward County (954) 489-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Medical Group LLC's NPI number?

The NPI number for Proactive Medical Group LLC is 1225765241. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Proactive Medical Group LLC located?

Proactive Medical Group LLC is located at 5353 N Federal Hwy Ste 400, Fort Lauderdale, FL 33308. The listed phone number is (954) 938-2843.

What is Proactive Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Proactive Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2284785) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive Medical Group LLC was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.