Active NPI
Comprehensive Mobile Medical LLC
- Family Nurse Practitioner
- Boynton Beach, FL
National Provider Identifier
1184410599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COMPREHENSIVE MOBILE MEDICAL LLC
- Practice address
- 7682 Colony Palm Dr
Boynton Beach, FL 33436-1312 - Phone
- (561) 876-7682
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Rosan
- Title
- Manager
- Phone
- (954) 260-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
7682 Colony Palm Dr
Boynton Beach, FL 33436-1312
Mailing address
7682 Colony Palm Dr
Boynton Beach, FL 33436-1312
Phone (561) 876-7682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Boynton Beach, FL
- NPI 1326728585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1184410599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7682 COLONY PALM DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334361312",
"telephone_number": "561-876-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7682 COLONY PALM DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334361312",
"telephone_number": "561-876-7682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MOBILE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "ROSAN",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-260-0732"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.