Provider Demographics
NPI:1538688874
Name:COMPREHENSIVE SURGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE SURGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BACOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-779-2663
Mailing Address - Street 1:9151 ESTATE THOMAS STE 205
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2716
Mailing Address - Country:US
Mailing Address - Phone:340-779-2663
Mailing Address - Fax:340-779-2443
Practice Address - Street 1:9151 ESTATE THOMAS STE 205
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2716
Practice Address - Country:US
Practice Address - Phone:340-779-2663
Practice Address - Fax:340-779-2443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE ORTHOPAEDIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical