Provider Demographics
| NPI: | 1154035848 |
|---|---|
| Name: | COMPREHENSIVE HEALTH X7 LLC |
| Entity type: | Organization |
| Organization Name: | COMPREHENSIVE HEALTH X7 LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MEDICAL DIRECTOR |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | RYAN |
| Authorized Official - Middle Name: | JOHN |
| Authorized Official - Last Name: | NAUGHTIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 813-466-8704 |
| Mailing Address - Street 1: | 1236 E LAKE COLONY DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MAITLAND |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32751-6124 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3056 UNIVERSITY PKWY |
| Practice Address - Street 2: | |
| Practice Address - City: | SARASOTA |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 34243-2502 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 941-706-4164 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-01-09 |
| Last Update Date: | 2023-01-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty |