Provider Demographics
NPI:1447647425
Name:COMPREHENSIVE MEDICAL HEALTH SOLUTIONS,LLC.
Entity type:Organization
Organization Name:COMPREHENSIVE MEDICAL HEALTH SOLUTIONS,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-240-1017
Mailing Address - Street 1:1016 PONCE DE LEON BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1002
Mailing Address - Country:US
Mailing Address - Phone:727-240-1017
Mailing Address - Fax:727-240-1018
Practice Address - Street 1:1016 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-1002
Practice Address - Country:US
Practice Address - Phone:727-240-1017
Practice Address - Fax:727-240-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty