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 | This clinic does not participate in Medicare Program. |
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 |
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Provider Enumeration Date | 01/02/2024 |
Last Update Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801666821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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