Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036-156597 | IL |
N | 207YS0123X | Facial Plastic Surgeon | 036-156597 | IL |
N | 2086S0122X | Plastic and Reconstructive Surgery | 036-156597 | IL |
NPI | 1760837983 |
---|---|
Provider Name | Julia Comer |
First Address | Gainesville, FL 32610-0264 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 20/12/2021 |