| Joshua A Summers Md Pa | |
|
3878 E Country Side Dr Inverness FL 34452-8834 | |
| (352) 634-2207 | |
| Not Available |
| Full Name | Joshua A Summers Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3878 E Country Side Dr, Inverness, Florida |
| Authorized Official Name and Position | Joshua Alton Summers (PRESIDENT) |
| Authorized Official Contact | 3526342207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua A Summers Md Pa 3878 E Country Side Dr Inverness FL 34452-8834 Ph: (352) 634-2207 | Joshua A Summers Md Pa 3878 E Country Side Dr Inverness FL 34452-8834 Ph: (352) 634-2207 |
| NPI Number | 1679828552 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/30/2012 |
| Medicare PECOS PAC ID | 2466600721 |
|---|---|
| Medicare Enrollment ID | O20120912000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679828552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME91020 (Florida) | Primary |
| Provider Name | Joshua A Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954328 PECOS PAC ID: 3779550736 Enrollment ID: I20040910000649 |
| Provider Name | Jilann M Lietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225700628 PECOS PAC ID: 4587052642 Enrollment ID: I20211022002023 |
| Provider Name | Courtney A Riesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215683487 PECOS PAC ID: 9739576810 Enrollment ID: I20220419001941 |
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