Sumfest, Jill Michelle

Sumfest, Jill Michelle is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Sumfest, Jill Michelle can be contacted via phone (352) 265-0761.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 04-24616 Kansas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME99064 Florida

Profile Details

NPI number 1225061807
LBN Legal business name Sumfest, Jill Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225061807 NPPES
Florida MEDICAID 024859900
Florida MEDICAID 10014960B

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