| Comprehensive Care Of Broward, Inc. | |
|
212 Ne 1st Ave Hallandale Beach FL 33009-4230 | |
| (954) 454-8880 | |
| (954) 454-1594 |
| Full Name | Comprehensive Care Of Broward, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 212 Ne 1st Ave, Hallandale Beach, Florida |
| Authorized Official Name and Position | Lyubov Pak (PRESIDENT) |
| Authorized Official Contact | 9544548880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Of Broward, Inc. 212 Ne 1st Ave Hallandale Beach FL 33009-4230 Ph: (954) 454-8880 | Comprehensive Care Of Broward, Inc. 212 Ne 1st Ave Hallandale Beach FL 33009-4230 Ph: (954) 454-8880 |
| NPI Number | 1063653079 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063653079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OS 8239 (Florida) | Primary |
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