Jeffrey B. Comitalo, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME74536 Issued in FL

Legal business name

JEFFREY B. COMITALO, MD, PA

Doing business as

Premier Surgical Solutions

Practice address

8333 N Davis Hwy
Pensacola, FL 32514-6050

Phone

(850) 474-8342

Fax

(850) 969-2886

NPI assigned

Mar 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Brian Comitalo, M.D.

Title

Owner

Phone

(850) 474-8342

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Surgical Solutions Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1386942860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10271",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325240271",
            "telephone_number": "850-474-8342",
            "fax_number": "850-969-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8342",
            "fax_number": "850-969-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. COMITALO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "COMITALO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-474-8342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME74536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253299900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Surgical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey J. Kates, PA
• Matthew W Jeffries
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• John Jenista, DMD
• Herman Jenkins Jr., CRNA

• Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.