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NPI Code Detail

MEDICARE: COMPREHENSIVE PSYCHIATRIC CARE, INC.

MEDICARE: COMPREHENSIVE PSYCHIATRIC CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME103117FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11453KOTHERFLBC BS OF FLORIDA

General Provider Information

NPI Number : 1255631008
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE PSYCHIATRIC CARE, INC.
Provider Business Mailing Address
First Line : PO BOX 279033
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-9033
Country : US
Telephone Number : 954-392-6099
Fax Number : 305-463-6693
Provider Business Practice Location Address
First Line : 16161 NW 57TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6707
Country : US
Telephone Number : 305-625-3409
Fax Number : 305-463-6693
Authorized Official
Title or Position : PRESIDENT
Name : DR. PATRICK PINCHINAT
Credential : M.D.
Telephone Number : 954-392-6099
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “COMPREHENSIVE PSYCHIATRIC CARE, INC. ” Practice Location

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