Organization
COMPREHENSIVE HEALTH CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BALLANTINE (OFFICE MANAGER)
(305) 688-0811
Entity
Organization
Contact information
Practice address
650 NW 120TH ST, NORTH MIAMI, FL 33168-2529
(305) 688-0811
Mailing address
650 NW 120TH ST, NORTH MIAMI, FL 33168-2529
(305) 688-0811
(305) 688-6304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060722301
—
FL
01
—
98881
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/17/2005
Last updated
07/07/2022
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