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General NPI Number Information
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NPI Number | 1578837522
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Entity Type | Organization
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Legal Business Name | SCOTT COMITER, M.D., P.A.
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 50 E SAMPLE RD SUITE 300
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City | POMPANO BEACH
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State | FL
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Zip | 33064-3552
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Country | US
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Telephone | 954-784-7204
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Fax | 954-784-7205
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Provider Business Mailing Address
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Address Line | 50 E SAMPLE RD SUITE 300
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City | POMPANO BEACH
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State | FL
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Zip | 33064-3552
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Country | US
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Telephone | 954-784-7204
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Fax | 954-784-7205
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT LANCE COMITER
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Credential | M.D.
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Telephone | 954-784-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME61855
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License Number State | FL
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