Basic Information
Provider Information
NPI: 1376670299
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COMBER
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 38045 MARKET SQ
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335427504
CountryCode: US
TelephoneNumber: 8137150354
FaxNumber: 8137798049
Practice Location
Address1: 38045 MARKET SQ
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335427504
CountryCode: US
TelephoneNumber: 8137150354
FaxNumber: 8137798049
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 10/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X22051TNN Pharmacy Service ProvidersPharmacist 
183500000XPS42152FLY Pharmacy Service ProvidersPharmacist 

No ID Information.


Home