Provider Demographics
NPI:1245717784
Name:COMAS, PAOLA NICOLE (MD)
Entity type:Individual
Prefix:MISS
First Name:PAOLA
Middle Name:NICOLE
Last Name:COMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 PRIMROSE LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3589
Mailing Address - Country:US
Mailing Address - Phone:813-769-2778
Mailing Address - Fax:813-769-2779
Practice Address - Street 1:3815 ATMORE GROVE DR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-7990
Practice Address - Country:US
Practice Address - Phone:813-428-7030
Practice Address - Fax:813-428-7040
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME168938207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology