| Comprehensive Care Clinic Llc | |
|
720 S Dixie Hwy Ste 3 Lantana FL 33462-4652 | |
| (561) 619-5858 | |
| Not Available |
| Full Name | Comprehensive Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 S Dixie Hwy Ste 3, Lantana, Florida |
| Authorized Official Name and Position | Lisa Di Fiori (OFFICE MANAGER) |
| Authorized Official Contact | 5616195858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Clinic Llc 720 S Dixie Hwy Ste 3 Lantana FL 33462-4652 Ph: () - | Comprehensive Care Clinic Llc 720 S Dixie Hwy Ste 3 Lantana FL 33462-4652 Ph: (561) 619-5858 |
| NPI Number | 1871018283 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 3274908660 |
|---|---|
| Medicare Enrollment ID | O20230418000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871018283 | NPI | - | NPPES |
| Provider Name | Joseph Frank Lalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922380914 PECOS PAC ID: 7416380936 Enrollment ID: I20230313002629 |
| Provider Name | Aisha Stachelle De Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174218440 PECOS PAC ID: 9133584055 Enrollment ID: I20230428000897 |
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