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PROACTIVE MD FL LLC
NPI 1386490126
Clinic/Center - Primary Care in Simpsonville, SC

Active since April 24, 2024
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681(864) 501-0751 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Md Fl Llc NPPES

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

PROACTIVE MD FL LLC (NPI 1386490126) is a healthcare organization registered as a primary care in Simpsonville, South Carolina and active in the NPI registry since April 2024. The organization lists Jason Crumpler, Evp Medical Affairs, as its authorized official.

NPPES Registry Identity

NPI1386490126
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD FL LLC
Location Address124 ALLAWOOD CTSimpsonville, SC 29681-6207
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Phone(864) 501-0751
Organization SubpartNo
Authorized OfficialJason CrumplerEvp Medical Affairs · (864) 395-2031
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1386490126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
124 ALLAWOOD CT, Simpsonville, SC 29681
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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 MD Fl LLC's NPI number?

The NPI number for Proactive MD Fl LLC is 1386490126. It was assigned to this organization in the NPPES registry on April 24, 2024.

Where is Proactive MD Fl LLC located?

Proactive MD Fl LLC is located at 124 Allawood Ct, Simpsonville, SC 29681. The listed phone number is (864) 501-0751.

What is Proactive MD Fl LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive MD Fl LLC was last updated on April 24, 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.