Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH 7989 | FL |
N | 111N00000X | Chiropractor | CHIR006630 | GA |
Y | 111NN0400X | Neurology | CH 7989 | FL |
N | 111NN0400X | Neurology | CHIR006630 | GA |
NPI | 1023070190 |
---|---|
Provider Name | Dr. Albert Comey |
First Address | Largo, FL 33771-3538 |
Second Address | Largo, FL 33771-3538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 13/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U82717 | (02) |