Provider Demographics
NPI:1538257159
Name:KOMSKY, STEVEN JAY (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:KOMSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5714
Mailing Address - Country:US
Mailing Address - Phone:813-935-8300
Mailing Address - Fax:813-933-0915
Practice Address - Street 1:6510 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5714
Practice Address - Country:US
Practice Address - Phone:813-935-8300
Practice Address - Fax:813-933-0915
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381356800Medicaid
FLU86001Medicare UPIN
FLK2810Medicare ID - Type Unspecified