Individual
DR. JEFFREY BRIAN COMITALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8333 N DAVIS HWY, 5TH FLOOR, PENSACOLA, FL 32514-6050
(850) 474-8342
(850) 969-2886
Mailing address
8333 N DAVIS HWY, 5TH FLOOR, PENSACOLA, FL 32514-6050
(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
—
006517900
—
FL
05
—
25329900
—
FL
05
—
529909680
—
AL
Enumeration date
09/06/2005
Last updated
08/31/2016
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