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

Last updated

Mar 7, 2011By the provider in NPPES

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.NPI 1679567697

Title

Owner

Phone

(850) 474-8342

Specialties & licenses 1

Addresses

Other names 1

• Premier Surgical Solutions Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Brian Comitalo, M.D.

  • Surgery Physician
  • Pensacola, FL
  • NPI 1679567697
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Surgical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.