| Doctor Name: | DR. EUGENE LESLIE KOMRAD |
| NPI Number: | 1386910131 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME12335 |
| Business Practice Address: | 600 Biltmore Way Ph 109 Ph109 Coral Gables, FL - 331347535 |
| Business Phone Number: | 3054431448 |
| Business Fax Number: | 3054426071 |
| Mailing Address: | 600 Biltmore Way Ph 109, CORAL GABLES |
| State: | FL |
| Postal Code: | 331347535 |
| Phone Number: | 3054431448 |
| Fax Number: | 3054426071 |
| NPI Enumeration Date: | 03/27/2012 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305S00000X |
| License Number: | ME12335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Point of Service |
| Taxonomy Specialization: | |
| Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |