Active NPI
Comprehensive Medical & Research Center LLC
- General Practice Physician
- Plantation, FL
National Provider Identifier
1447928643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COMPREHENSIVE MEDICAL & RESEARCH CENTER LLC
- Practice address
- 4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830 - Phone
- (954) 368-3529
- Fax
- (954) 333-2629
- NPI assigned
- Sep 1, 2021
- 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
- Andrew T Tillett
- Title
- Manager Member
- Phone
- (561) 714-3912
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830
Mailing address
4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830
Phone (954) 368-3529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2240820 | Comprehensive Medical & Research Center LLC | Certificate of waiver | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1750825543
-
- Family Nurse Practitioner
- Plantation, FL
- NPI 1437522752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1447928643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 NW 3RD CT STE 11",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172830",
"telephone_number": "954-368-3529",
"fax_number": "954-333-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NW 3RD CT STE 11",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172830",
"telephone_number": "954-368-3529",
"fax_number": "954-333-2629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MEDICAL & RESEARCH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "TILLETT",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGER MEMBER",
"authorized_official_telephone_number": "561-714-3912"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- Community Health Services of South Florida, Inc.
- Ruth T Compere
- Complete Care Medical Center, Inc
- Complete Health Solutions
- Complete Rehab & Medical Center of Plantation
- Comprehensive Neurobehavioral Institute PLLC
- Comprehensive Pain and Wellness, LLC
- Karen Denise Comrie
- Bruce Howard Conan, OD
- John Conn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.