Provider Demographics
NPI:1891833281
Name:COMEY CHIROPRACTIC CLINIC, INC.
Entity Type:Organization
Organization Name:COMEY CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-581-3800
Mailing Address - Street 1:10225 ULMERTON RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3538
Mailing Address - Country:US
Mailing Address - Phone:727-581-3800
Mailing Address - Fax:727-581-3811
Practice Address - Street 1:10225 ULMERTON RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3538
Practice Address - Country:US
Practice Address - Phone:727-581-3800
Practice Address - Fax:727-581-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7989111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2219Medicare ID - Type UnspecifiedGROUP NUMBER