| Comprehensive Primary Care | |
|
4363 South Suncoast Blvd Homosassa Springs FL 34446 | |
| (352) 503-2011 | |
| (352) 503-6892 |
| Full Name | Comprehensive Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4363 South Suncoast Blvd, Homosassa Springs, Florida |
| Authorized Official Name and Position | Hasibul H. Khan (PHYSICIAN/DIRECTOR) |
| Authorized Official Contact | 3525032011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary Care 3404 N. Lecanto Hwy Suite C Beverly Hills FL 34465 Ph: (352) 746-1558 | Comprehensive Primary Care 4363 South Suncoast Blvd Homosassa Springs FL 34446 Ph: (352) 503-2011 |
| NPI Number | 1336454339 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 04/10/2013 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20140307001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336454339 | NPI | - | NPPES |
| 252639500 | Medicaid | FL | |
| 378926800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME69230 (Florida) | Primary |
| 261QR1300X | Clinic/center - Rural Health | ME100419 (Florida) | Secondary |