Tanisa Comer
Contractor • Jacksonville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tanisa Comer has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tanisa Comer was a registered Contractor practicing in Jacksonville, FL. Throughout an active medical career spanning 7 years, Tanisa Comer provided care at the practice location at 11731 DEEP SPRINGS DR N until profile deactivation on 2022-07-07.
Practice Location & Contact Primary Location
11731 Deep Springs Dr N
Jacksonville, FL 322195153
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Jacksonville, FL
Practicing in Jacksonville, FL (793 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 07, 2022
Registered at 15865 LEXINGTON PARK BLVD, JACKSONVILLE, FL 322188148 (Tel: 9044055614)
Registered at 15865 LEXINGTON PARK BLVD, JACKSONVILLE, FL 322188148 (Tel: 9044055614)
Recorded as TANISA SCIPPIO
NPI status registered as active in NPPES database
Registered at 11731 DEEP SPRINGS DR N, JACKSONVILLE, FL 322195153 (Tel: 9044055614)
Registered at 11731 DEEP SPRINGS DR N, JACKSONVILLE, FL 322195153 (Tel: 9044055614)
Recorded as TANISA COMER
Contractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11731 Deep Springs Dr N
Jacksonville, FL 322195153
Phone: 9044055614
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