MEDICARE: COMITER P.A.

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
1	208800000X	Urology Physician	ME 12864	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1437224318	OTHER	FL	NPI INDIVIDUAL

General Provider Information

NPI Number	:	1730246471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMITER P.A.

Provider Business Mailing Address
First Line	:	1 W SAMPLE RD
Second Line	:	# 305
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3547
Country	:	US
Telephone Number	:	954-943-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 W SAMPLE RD
Second Line	:	# 305
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3547
Country	:	US
Telephone Number	:	954-943-0895
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DONALD COMITER
Credential	:	M.D.
Telephone Number	:	954-943-0895

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	01/30/2013

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Directions to “COMITER P.A. ” Practice Location

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