Organization
JEFFREY B. COMITALO, MD, PA
Active
Other names
Premier Surgical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BRIAN COMITALO M.D. (OWNER)
(850) 474-8342
Entity
Organization
Contact information
Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8342
(850) 969-2886
Mailing address
PO BOX 10271, PENSACOLA, FL 32524-0271
(850) 474-8342
(850) 969-2886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME74536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253299900
—
FL
Enumeration date
03/07/2011
Last updated
03/07/2011
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