| Summit Medical Group West Florida | |
|
1559 Indian Rocks Rd S Largo FL 33770-4542 | |
| (727) 258-0628 | |
| (727) 491-7767 |
| Full Name | Summit Medical Group West Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 1559 Indian Rocks Rd S, Largo, Florida |
| Authorized Official Name and Position | Andrew Hayslett (PRESIDENT) |
| Authorized Official Contact | 7277090550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group West Florida 2410 Northside Dr Clearwater FL 33761-2236 Ph: (727) 499-0351 | Summit Medical Group West Florida 1559 Indian Rocks Rd S Largo FL 33770-4542 Ph: (727) 258-0628 |
| NPI Number | 1043782287 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/24/2024 |
| Medicare PECOS PAC ID | 8729313705 |
|---|---|
| Medicare Enrollment ID | O20190712001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043782287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew L Hayslett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669705083 PECOS PAC ID: 5294984886 Enrollment ID: I20120925000328 |
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