COMPREHENSIVE HEALTH & WELLNESS CENTER P.A. NPI 1184931339

NPI Information

NPI: 1184931339
Provider Name: COMPREHENSIVE HEALTH & WELLNESS CENTER, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2016186

Address:
4040 SHERIDAN ST
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 322-7166
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COMPREHENSIVE HEALTH & WELLNESS CENTER, P.A. is a primary care clinic center in Hollywood, FL. COMPREHENSIVE HEALTH & WELLNESS CENTER, P.A. NPI is 1184931339. The provider is registered as an organization entity type.

The provider's business location address is:

4040 SHERIDAN ST
HOLLYWOOD, FL
ZIP 33021-536
Phone: (954) 322-7166
Fax: (954) 322-7169

The provider's authorized official is Mark Derrick Chin-lenn .
The authorized official title is President and has the following contact phone number (954) 322-7166.

The CLIA number assigned to this NPI record is 10D2016186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME89650	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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