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General NPI Number Information
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NPI Number | 1316174113
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL ACCESS (CMA) INC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1435 W 49TH PL STE 503
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City | HIALEAH
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State | FL
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Zip | 33012-3158
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Country | US
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Telephone | 305-787-3267
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Fax | 786-953-5323
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Provider Business Mailing Address
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Address Line | 1435 W 49TH PL STE 503
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City | HIALEAH
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State | FL
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Zip | 33012-3158
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Country | US
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Telephone | 305-787-3267
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Fax | 786-953-5323
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Authorized Official
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Title or Position | CEO
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Name | JACK J. MICHEL
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Credential | M.D.
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Telephone | 305-787-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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