OrganizationProactive Health CorpClinic/CenterAmbulatory Health Care FacilitiesPractice Address3750 W 16th Ave Ste 218, Hialeah, FL 33012-4648(786) 409-3231PECOS EnrollmentBased on the most recent information from CMS, provider Proactive Health Corp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1316510506Provider TypeOrganizationFull NameProactive Health CorpSubpartNoEnumeration Date7/23/2021Last Updated4/10/2023Contact InformationPractice LocationPractice Address3750 W 16th Ave Ste 218, Hialeah, FL 33012-4648Phone(786) 409-3231FaxUnlisted FaxMailing LocationMailing Address3750 W 16th Ave Ste 218, Hialeah, FL 33012-4648Phone(786) 409-3231FaxUnlisted FaxAuthorized OfficialNameCruz Duque, Liuva (President)Phone(786) 389-7598Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer