Provider Demographics
NPI:1326592908
Name:COMPREHENSIVE MEDICAL CONSULTANTS, LLC.
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL CONSULTANTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-248-8055
Mailing Address - Street 1:9081 NE JACKSONVILLE RD
Mailing Address - Street 2:#1689
Mailing Address - City:ANTHONY
Mailing Address - State:FL
Mailing Address - Zip Code:32617-7701
Mailing Address - Country:US
Mailing Address - Phone:561-248-8055
Mailing Address - Fax:
Practice Address - Street 1:9081 NE JACKSONVILLE RD
Practice Address - Street 2:#1689
Practice Address - City:ANTHONY
Practice Address - State:FL
Practice Address - Zip Code:32617-7701
Practice Address - Country:US
Practice Address - Phone:561-248-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management