Provider Demographics
NPI:1003441981
Name:COMPREHENSIVE CARE PARTNERS LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE CARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-250-2650
Mailing Address - Street 1:1650 MARGARET ST STE 302-187
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3868
Mailing Address - Country:US
Mailing Address - Phone:352-250-2650
Mailing Address - Fax:904-281-9806
Practice Address - Street 1:1 SHIRCLIFF WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4748
Practice Address - Country:US
Practice Address - Phone:352-250-2650
Practice Address - Fax:903-281-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty