Provider Demographics
NPI:1134500945
Name:COMPLETE MEDICAL CARE SERVICES
Entity Type:Organization
Organization Name:COMPLETE MEDICAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RESSLER-LAVORANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-907-3841
Mailing Address - Street 1:10130 NORTHLAKE BLVD STE 214341
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1101
Mailing Address - Country:US
Mailing Address - Phone:561-907-3841
Mailing Address - Fax:561-798-5450
Practice Address - Street 1:10130 NORTHLAKE BLVD STE 214341
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1101
Practice Address - Country:US
Practice Address - Phone:561-907-3841
Practice Address - Fax:561-798-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty