Healthcare Provider Details

I. General information

NPI: 1215412424
Provider Name (Legal Business Name): SUMMER LLOYD-TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PLANTATION ISLAND DR S
ST AUGUSTINE FL
32080-6010
US

IV. Provider business mailing address

600 PLANTATION ISLAND DR S
ST AUGUSTINE FL
32080-6010
US

V. Phone/Fax

Practice location:
  • Phone: 904-461-1081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS43624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: