MEDICARE: COMPREHENSIVE VASCULAR CARE PA

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
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265968754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE VASCULAR CARE PA

Provider Business Mailing Address
First Line	:	8485 BIRD RD
Second Line	:	SUITE 305
City	:	MIAMI
State	:	FL
Zip	:	33155
Country	:	US
Telephone Number	:	305-432-4218
Fax Number	:	305-432-4219

Provider Business Practice Location Address
First Line	:	8485 BIRD RD
Second Line	:	SUITE 305
City	:	MIAMI
State	:	FL
Zip	:	33155
Country	:	US
Telephone Number	:	305-432-4218
Fax Number	:	305-432-4219

Authorized Official
Title or Position	:	OWNER
Name	:	BERNARD B ASHBY
Credential	:	MD
Telephone Number	:	305-204-9862

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	01/29/2026

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