Organization
ALLIANCE HEALTHCARE GROUP
Active
Parent organization
COMPREHENSIVE MEDIICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE MEDIICAL CLINIC
Authorized official
RAJIV CHANDRA MC (OFFICER)
(321) 951-7404
Entity
Organization
Contact information
Practice address
20 E MELBOURNE AVE, 104, MELBOURNE, FL 32901-5970
(321) 951-7404
Mailing address
20 E MELBOURNE AVE, 104, MELBOURNE, FL 32901-5970
(321) 951-7404
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500016
AHCA NUMBER
FL
Enumeration date
08/07/2007
Last updated
08/07/2007
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