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Complex Clinical Management, INC

Internal Medicine, Geriatric Medicine in Deerfield Beach, FL. Organization (NPI-2).

NPI number1285908087
StatusActive
Last updated in NPPESSep 21, 2018

Details

NPI
1285908087
Entity type
Organization (NPI-2)
Legal business name
Complex Clinical Management, INC
Organization subpart
Yes
Enumeration date
Feb 27, 2012
Last updated
Sep 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric Medicine––Yes
253Z00000X In Home Supportive Care––

Other names

  • Your Home Advantage (Doing Business As)

Practice location

700 W Hillsboro Blvd
Building 1, Suite 203
Deerfield Beach, FL 33441-1609

Phone 866-448-7716 · Fax 954-843-7307

Mailing address

500 W Main St
Louisville, KY 40202-2946

Phone 866-448-7716

Authorized official

Philip Painter
President
2129946000

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