Provider Demographics
NPI:1841428299
Name:PROGRESSIVE FIRST ASSISTANTS, LLC
Entity Type:Organization
Organization Name:PROGRESSIVE FIRST ASSISTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:239-961-2148
Mailing Address - Street 1:8595 COLLIER BLVD
Mailing Address - Street 2:SUITE 107-15
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-3556
Mailing Address - Country:US
Mailing Address - Phone:239-961-2148
Mailing Address - Fax:239-304-9446
Practice Address - Street 1:8595 COLLIER BLVD
Practice Address - Street 2:SUITE 107-15
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-3556
Practice Address - Country:US
Practice Address - Phone:239-961-2148
Practice Address - Fax:239-304-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9247605251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care