| Organization Name: | PROGRESSIVE QUALITY CARE CORP |
| NPI Number: | 1043648264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEROGINA ARES (PRESIDENT) |
| Mailing Address: | 6501 Nw 36th St Suite 314 Virginia Gardens |
| State: | FL US |
| Postal Code: | 331666959 |
| Phone Number: | 3055261140 |
| Fax Number: | 3055261918 |
| NPI Enumeration Date: | 10/25/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | HCC10810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |