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General NPI Number Information
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NPI Number | 1972385243
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Entity Type | Organization
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Legal Business Name | COMFORT MEDICAL CARE LLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 14100 PALMETTO FRNTG RD STE 105
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1568
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Country | US
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Telephone | 786-630-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 PALMETTO FRNTG RD STE 105
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1568
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Country | US
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Telephone | 305-456-4738
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Fax | 786-534-4540
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS MIGUEL MARTINEZ COSTA
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Credential | APRN
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Telephone | 786-630-3894
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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 |
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