Comprehensive Healthcare P A | |
575 N Clyde Morris Blvd Ste A Daytona Beach FL 32114-2318 | |
(321) 355-7377 | |
(800) 930-4957 |
Full Name | Comprehensive Healthcare P A |
---|---|
Speciality | Internal Medicine |
Location | 575 N Clyde Morris Blvd Ste A, Daytona Beach, Florida |
Authorized Official Name and Position | Riaz Rahman (PRESIDENT) |
Authorized Official Contact | 3214439924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Healthcare P A 646 Hills Blvd Port Orange FL 32127-2902 Ph: (321) 443-9924 | Comprehensive Healthcare P A 575 N Clyde Morris Blvd Ste A Daytona Beach FL 32114-2318 Ph: (321) 355-7377 |
NPI Number | 1326093527 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 01/18/2023 |
Medicare PECOS PAC ID | 6204825714 |
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Medicare Enrollment ID | O20040510001226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326093527 | NPI | - | NPPES |
252738300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME72252 (Florida) | Primary |
Provider Name | Riaz Rahman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20040511000362 |
Provider Name | Helene Brenda Vossos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093028649 PECOS PAC ID: 3779779269 Enrollment ID: I20140815001027 |
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