Summers, Marlene M

Summers, Marlene M is an individual health care provider with primary practice located at 449 Se Baya Drive , Lake City FL 32025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Summers, Marlene M can be contacted via phone (386) 755-0500.

Contact Information

Primary practice address
449 Se Baya Drive Lake City FL 32025
Phone: (386) 755-0500
Fax: (386) 755-9217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 1370482 Florida

Profile Details

NPI number 1659465755
LBN Legal business name Summers, Marlene M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 12th, 2016 - about 8 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 1659465755 NPPES
Florida Other 240386 AVMED
Florida Other Y9008 AVMED
Florida MEDICAID 340059000 AVMED

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