Comitalo, Jeffrey Brian

Comitalo, Jeffrey Brian is an sole proprietor health care provider with primary practice located at 8333 N Davis Hwy 5Th Floor, Pensacola FL 32514-6050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Comitalo, Jeffrey Brian can be contacted via phone (850) 474-8342.

Contact Information

Primary practice address
8333 N Davis Hwy 5Th Floor Pensacola FL 32514-6050
Phone: (850) 474-8342
Fax: (850) 969-2886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME74536 Florida

Profile Details

NPI number 1679567697
LBN Legal business name Comitalo, Jeffrey Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Aug 31st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679567697 NPPES
Florida MEDICAID 25329900
Florida MEDICAID 006517900
Florida MEDICAID 529909680

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