Provider Demographics
NPI:1184410599
Name:COMPREHENSIVE MOBILE MEDICAL LLC
Entity type:Organization
Organization Name:COMPREHENSIVE MOBILE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-260-0732
Mailing Address - Street 1:7682 COLONY PALM DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-1312
Mailing Address - Country:US
Mailing Address - Phone:561-876-7682
Mailing Address - Fax:
Practice Address - Street 1:7682 COLONY PALM DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-1312
Practice Address - Country:US
Practice Address - Phone:561-876-7682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty