Healthcare Provider Details

I. General information

NPI: 1851488209
Provider Name (Legal Business Name): PROGRESSIVE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5417 W ATLANTIC BLVD
MARGATE FL
33063
US

IV. Provider business mailing address

5417 W ATLANTIC BLVD
MARGATE FL
33063
US

V. Phone/Fax

Practice location:
  • Phone: 954-979-2333
  • Fax: 954-979-6714
Mailing address:
  • Phone: 954-979-2333
  • Fax: 954-979-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MASSA
Title or Position: OFFICE MANAGER
Credential:
Phone: 954-979-2333