NPI | 1568723898 |
---|---|
Doing Business As | COMFORT CARE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RONALD LABORDE President 225-292-2031 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL HCC9472) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL HCC9472) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2014-03-06 |