Healthcare Provider Details

I. General information

NPI: 1013986207
Provider Name (Legal Business Name): COMPREHENSIVE CARE PROVIDERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20101 NE 16TH PL
MIAMI FL
33179-2720
US

IV. Provider business mailing address

20101 NE 16TH PL
MIAMI FL
33179-2720
US

V. Phone/Fax

Practice location:
  • Phone: 786-207-3400
  • Fax: 786-207-3414
Mailing address:
  • Phone: 786-207-3400
  • Fax: 786-207-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MICAHEL A CORREA
Title or Position: SECRETARY
Credential:
Phone: 305-490-2224