JEFFREY B. COMITALO, MD, PA (NPI# 1386942860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386942860 |
| Entity Type | Organization |
| Organization Name | JEFFREY B. COMITALO, MD, PA |
| Other Organization Name | PREMIER SURGICAL SOLUTIONS |
| Practice Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Mailing Address |
Po Box 10271 Pensacola FL 32524-0271 |
| Practice Telephone | 8504748342 |
| Practice Fax Number | 8509692886 |
| Mailing Telephone | 8504748342 |
| Mailing Fax Number | 8509692886 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | DR. JEFFREY BRIAN COMITALO (OWNER) |
| Authorized Official Telephone | 8504748342 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME74536 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 253299900 | 05 |
| Other Name | Type Code |
|---|---|
| Premier Surgical Solutions | Doing Business As Name - Organization |
| Street Address |
8333 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 1114528312 | Lucas Braden Heitman | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-11-04 |
| 1093328056 | Alyssa Haley | Audiologist | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-28 |
| 1568074995 | Andrew Bean | Pharmacist | 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 | 2020-08-18 |
| 1942810072 | Martha Davault | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-04 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1093352619 | Danielle Tozzo | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2019-12-02 |
| 1104475235 | Aryn Del Valle | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-09-11 |
| 1649731415 | Vanessa Enriquez | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-03-26 |
| 1881165652 | Jessica Christine Byrd | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699337857 | The Surgery Center At Woodlands, LLC | Surgery | 4724 N Davis Hwy Ste 301, Pensacola, FL 32503-2339 | 2019-07-08 |
| 1992068183 | Austin Younger | Surgery | 6000 W Hwy 98 Urology Department, Pensacola, FL 32512-8905 | 2012-06-21 |
| 1669627055 | Jean-pierre Martucci Melo | Surgery | 1717 N E St Ste 205, Pensacola, FL 32501-6336 | 2008-11-26 |
| 1508934555 | Leonardo Villegas | Surgery | 730 Bayfront Pkwy Ste 5a, Pensacola, FL 32502-6250 | 2006-11-30 |
| 1285690669 | Ghazala Farah Rahman | Surgery | 350 W Cedar St, Pensacola, FL 32502-4910 | 2006-04-25 |
| 1932101458 | Robert Bradford Pyle | Surgery | 1310 Sunrunner Road, Pensacola, FL 32504 | 2005-08-15 |
| 1255713772 | John Hahn | Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2015-06-20 |
| 1932474111 | George Heyward Fulghum IIi | Surgery | 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | 2012-03-20 |
| 1811280373 | Daniel Joseph Ballow | Surgery | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2011-05-17 |
| 1538469168 | Layne R Yonehiro Md Pa | Surgery | 1717 N E St, Suite 533, Pensacola, FL 32501-6339 | 2010-10-29 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.