Provider Demographics
NPI:1851504039
Name:COMPREHENSIVE HEALTHCARE CENTER INC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEHAD
Authorized Official - Middle Name:G
Authorized Official - Last Name:NIMEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-672-1220
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:GOLDENROD
Mailing Address - State:FL
Mailing Address - Zip Code:32733-0610
Mailing Address - Country:US
Mailing Address - Phone:407-442-6155
Mailing Address - Fax:407-331-9324
Practice Address - Street 1:616 E ALTAMONTE DR
Practice Address - Street 2:STE 206
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4823
Practice Address - Country:US
Practice Address - Phone:407-442-6155
Practice Address - Fax:407-331-9324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257544200Medicaid
FL257544200Medicaid
FLG67849Medicare UPIN