MEDICARE: PROGRESSIVE MEDICAL COMMUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1982224390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE MEDICAL COMMUNITY

Provider Business Mailing Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 120
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-777-3721
Fax Number	:	877-325-2429

Provider Business Practice Location Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 120
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-777-3721
Fax Number	:	877-325-2429

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID BILLMEIER
Credential	:	MD
Telephone Number	:	386-777-3721

Provider Enumeration Date	:	04/26/2020
Last Update Date	:	09/24/2022

Similar Medicare Providers

1407964141 — DR. DAVID BILLMEIER MD
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 120
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-777-3721
Practice Fax: 877-325-2429

1215680103 — DEANNA BOICOURT RN
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 130
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-274-1004
Practice Fax:

1669125332 — MICHELE NIEDERMEYER APRN
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 130
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-274-1004
Practice Fax:

1285333880 — MONICA CHITTA
Practice Location Address:

1717 N CLYDE MORRIS BLVD STE 140
DAYTONA BEACH, FL
32117-5532

Practice Phone: 386-257-2672
Practice Fax:

1881690162 — ROBERT P WALKER M.D.
Practice Location Address:

393 NE 5TH AVE UNIT B
DELRAY BEACH, FL
33483-5532

Practice Phone: 561-270-0003
Practice Fax:

1295842300 — STEFAN VINCENT FRANCIOSA DO
Practice Location Address:

393 NE 5TH AVE UNIT B
DELRAY BEACH, FL
33483-5532

Practice Phone: 561-270-0003
Practice Fax: 561-431-8265

Directions to “PROGRESSIVE MEDICAL COMMUNITY ” Practice Location

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