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Organization

COMPREHENSIVE PHYSICIANS GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADFORD Q LEVINE DC (OWNER)
(407) 332-1904
Entity
Organization

Contact information

Practice address
499 E CENTRAL PKWY, SUITE 215, ALTAMONTE SPRINGS, FL 32701
(407) 332-1904
(407) 332-1206
Mailing address
499 E CENTRAL PKWY, SUITE 215, ALTAMONTE SPRINGS, FL 32701
(407) 332-1904
(407) 332-1206

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5503
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22098Z
BCBS
Enumeration date
12/17/2007
Last updated
03/27/2012
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