Provider Demographics
NPI:1427196187
Name:COMPREHENSIVE OBGYN PA
Entity Type:Organization
Organization Name:COMPREHENSIVE OBGYN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-793-5657
Mailing Address - Street 1:12959 PALMS WEST DRIVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470
Mailing Address - Country:US
Mailing Address - Phone:561-793-5657
Mailing Address - Fax:561-793-5608
Practice Address - Street 1:12959 PALMS WEST DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470
Practice Address - Country:US
Practice Address - Phone:561-793-5657
Practice Address - Fax:561-793-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7383207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2508Medicare ID - Type Unspecified