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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