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NPI Code Detail

MEDICARE: JULIA COMER M.D.

MEDICARE: JULIA COMER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician036-156597IL
2207YS0123XFacial Plastic Surgery Physician036-156597IL
32086S0122XPlastic and Reconstructive Surgery Physician036-156597IL
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1760837983
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA COMER M.D.
Provider Business Mailing Address
First Line : PO BOX 100264
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0264
Country : US
Telephone Number : 352-273-5199
Fax Number :
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-273-5199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 12/20/2021

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