Healthcare Provider Details

I. General information

NPI: 1497659890
Provider Name (Legal Business Name): J&B COMPREHENSIVE MEDICAL CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 N STATE ROAD 7 STE 107
LAUDERDALE LAKES FL
33313-3771
US

IV. Provider business mailing address

2331 N STATE ROAD 7 STE 107
LAUDERDALE LAKES FL
33313-3771
US

V. Phone/Fax

Practice location:
  • Phone: 786-985-4049
  • Fax:
Mailing address:
  • Phone: 786-985-4049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRUNETTE BASTIEN
Title or Position: CO-OWNER
Credential: NP
Phone: 239-293-5829