MEDICARE: PROGRESS PSYCHIATRIC CARE LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1477499424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS PSYCHIATRIC CARE LLC

Provider Business Mailing Address
First Line	:	7881 W SAMPLE RD STE B1
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4755
Country	:	US
Telephone Number	:	954-997-1966
Fax Number	:	954-405-8805

Provider Business Practice Location Address
First Line	:	7881 W SAMPLE RD STE B1
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4755
Country	:	US
Telephone Number	:	954-997-1966
Fax Number	:	954-405-8805

Authorized Official
Title or Position	:	OWNER
Name	:	OLIGINE LOUIS DORT
Credential	:	PMHNP
Telephone Number	:	412-547-2794

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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