Healthcare Provider Details

I. General information

NPI: 1306444708
Provider Name (Legal Business Name): CENTER FOR COMPREHENSIVE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 10/16/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 CLEMENT RD
LUTZ FL
33549-5552
US

IV. Provider business mailing address

2411 CLEMENT RD
LUTZ FL
33549-5552
US

V. Phone/Fax

Practice location:
  • Phone: 813-948-3325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SERGIO P CRUZ
Title or Position: CFO
Credential:
Phone: 781-708-9444