| Summers Anti-aging Center Llc | |
|
5015 4th St N Saint Petersburg FL 33703-2945 | |
| (727) 709-5058 | |
| Not Available |
| Full Name | Summers Anti-aging Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5015 4th St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Janice Alexandra Summers (OWNER/PROVIDER) |
| Authorized Official Contact | 7277095058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summers Anti-aging Center Llc 5015 4th St N Saint Petersburg FL 33703-2945 Ph: (727) 709-5058 | Summers Anti-aging Center Llc 5015 4th St N Saint Petersburg FL 33703-2945 Ph: (727) 709-5058 |
| NPI Number | 1801666821 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 5092257204 |
|---|---|
| Medicare Enrollment ID | O20240603004002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801666821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janice Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942318191 PECOS PAC ID: 7416998919 Enrollment ID: I20240627000978 |
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