| Entity Name: | COMPREHENSIVE MEDICAL MANAGEMENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Sep 1989 (35 years ago) |
| Document Number: | L19946 |
| FEI/EIN Number | 650203264 |
| Address: | 3451 COMMERCE PKWY STE 102, HOLLYWOOD, FL, 33025, US |
| Mail Address: | 760 PONCE DE LEON BVLD, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881702306 | 2006-08-25 | 2008-06-25 | 3451 COMMERCE PKWY, SUITE 101, MIRAMAR, FL, 330253900, US | 3451 COMMERCE PKWY, SUITE 101, MIRAMAR, FL, 330253900, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-884-8650 |
| Fax | 3058637349 |
Authorized person
| Name | MR. WILFRED BRACERAS |
| Role | PRESIDENT/CEO |
| Phone | 3058638860 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 933 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 933 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 933 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028936100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRACERAS, WILFRED | Agent | 760 PONCE DE LEON BLVD, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| BRACERAS WILFRED | President | 760 PONCE DE LEON BLVD, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| BRACERAS WILFRED | Secretary | 760 PONCE DE LEON BLVD, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| BRACERAS WILFRED | Treasurer | 760 PONCE DE LEON BLVD, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| BRACERAS WILFRED | Director | 760 PONCE DE LEON BLVD, MIAMI, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
