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Organization
COMPREHENSIVE OBGYN CARE OF BCT
Active
Organization
COMPREHENSIVE OBGYN CARE OF BCT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LHERISSON DOMOND SR. M.D. (MEDICAL DIRECTOR)
(754) 245-8443
Entity
Organization
Contact information
Practice address
4959 N STATE ROAD 7, SUITE A, TAMARAC, FL 33319-5871
(754) 245-8443
Mailing address
4959 N STATE ROAD 7, SUITE A, TAMARAC, FL 33319-5871
(754) 245-8443
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 32051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047508400
—
FL
Enumeration date
03/05/2007
Last updated
06/30/2008
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