Healthcare Provider Details

I. General information

NPI: 1316174113
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL ACCESS (CMA) INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date: 07/31/2025
Reactivation Date: 09/23/2025

III. Provider practice location address

1435 W 49TH PL STE 503
HIALEAH FL
33012-3158
US

IV. Provider business mailing address

1435 W 49TH PL STE 503
HIALEAH FL
33012-3158
US

V. Phone/Fax

Practice location:
  • Phone: 305-787-3267
  • Fax: 786-953-5323
Mailing address:
  • Phone: 305-787-3267
  • Fax: 786-953-5323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: JACK J. MICHEL
Title or Position: CEO
Credential: M.D.
Phone: 305-787-3267