Provider Demographics
NPI:1902285703
Name:J&J COMPREHENSIVE MEDICAL CARE LLC
Entity type:Organization
Organization Name:J&J COMPREHENSIVE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TELUSMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-755-0404
Mailing Address - Street 1:5645 CORAL RIDGE DRIVE
Mailing Address - Street 2:SUITE 142
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:910-529-6685
Mailing Address - Fax:
Practice Address - Street 1:1505 N. UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-755-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty