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Contact Information

SYDNEY SUMMERS
1564 KINGSLEY AVE STE 300
ORANGE PARK, FL32073
 Phone: 904-264-8801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SYDNEY SUMMERS · (Female)

NPI # 1104398023
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2018
Last updated 01/10/2019 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 9111854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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