# COMPREHENSIVE OBGYN CARE OF BCT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821127929
- **Authorized official:** DR. LHERISSON DOMOND SR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (754) 245-8443

## Contact information

- **Practice address:** 4959 N STATE ROAD 7, SUITE A, TAMARAC, FL 33319-5871
- **Practice address phone:** (754) 245-8443
- **Mailing address:** 4959 N STATE ROAD 7, SUITE A, TAMARAC, FL 33319-5871
- **Mailing address phone:** (754) 245-8443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 32051 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 047508400 | — | FL |