Provider Demographics
NPI:1952186561
Name:ASSERTIVE COMPREHENSIVE CARE INC
Entity Type:Organization
Organization Name:ASSERTIVE COMPREHENSIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANDRO
Authorized Official - Last Name:CANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-204-1209
Mailing Address - Street 1:12550 BISCAYNE BLVD STE 507
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2544
Mailing Address - Country:US
Mailing Address - Phone:305-204-1209
Mailing Address - Fax:305-402-0959
Practice Address - Street 1:12550 BISCAYNE BLVD STE 507
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2544
Practice Address - Country:US
Practice Address - Phone:305-204-1209
Practice Address - Fax:305-402-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty