Healthcare Provider Details

I. General information

NPI: 1326594326
Provider Name (Legal Business Name): SOMMER LYN HOYT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2418 MAGNOLIA DR
PANAMA CITY BEACH FL
32408-7009
US

IV. Provider business mailing address

2418 MAGNOLIA DR
PANAMA CITY BEACH FL
32408-7009
US

V. Phone/Fax

Practice location:
  • Phone: 850-890-3224
  • Fax: 850-708-1956
Mailing address:
  • Phone: 850-890-3224
  • Fax: 850-708-1956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SOMMER LYN HOYT
Title or Position: ARNP
Credential: BC-AGACNP, MSN, BSN
Phone: 850-890-3224