Provider Demographics
NPI:1013102946
Name:COMELLAS, PAULA DENISE
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:DENISE
Last Name:COMELLAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 LIMETREE DR
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-2650
Mailing Address - Country:US
Mailing Address - Phone:727-831-6068
Mailing Address - Fax:727-723-3160
Practice Address - Street 1:132 10TH AVE N
Practice Address - Street 2:105
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3407
Practice Address - Country:US
Practice Address - Phone:727-712-3926
Practice Address - Fax:727-723-3160
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA47334225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist