MEDICARE: COMPREHENSIVE MEDICAL CONSULTANTS, LLC.

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1326592908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE MEDICAL CONSULTANTS, LLC.

Provider Business Mailing Address
First Line	:	9081 NE JACKSONVILLE RD
Second Line	:	#1689
City	:	ANTHONY
State	:	FL
Zip	:	32617-7701
Country	:	US
Telephone Number	:	561-248-8055
Fax Number	:

Provider Business Practice Location Address
First Line	:	9081 NE JACKSONVILLE RD
Second Line	:	#1689
City	:	ANTHONY
State	:	FL
Zip	:	32617-7701
Country	:	US
Telephone Number	:	561-248-8055
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	JOHN JAMES HOWARD
Credential	:
Telephone Number	:	561-248-8055

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	08/11/2016

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