Healthcare Provider Details

I. General information

NPI: 1740527571
Provider Name (Legal Business Name): COMFORT MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 01/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 NW 29TH ST
MIAMI FL
33127-3828
US

IV. Provider business mailing address

719 NW 29TH ST
MIAMI FL
33127-3828
US

V. Phone/Fax

Practice location:
  • Phone: 305-603-8200
  • Fax: 305-603-8461
Mailing address:
  • Phone: 305-603-8200
  • Fax: 305-603-8461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: EPHRAIN CABAN JR.
Title or Position: MGRM
Credential: M.D.
Phone: 305-603-8200