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NPI Code Detail

MEDICARE: DR. BRETT ROBERT SUMMERS D.L.

MEDICARE: DR. BRETT ROBERT SUMMERS D.L.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH12951FL

General Provider Information

NPI Number : 1548831993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRETT ROBERT SUMMERS D.L.
Provider Business Mailing Address
First Line : 10475 GANDY BLVD NORTH
Second Line : UNIT 1309
City : ST. PETERSBURG
State : FL
Zip : 33702
Country : US
Telephone Number : 601-955-4198
Fax Number :
Provider Business Practice Location Address
First Line : 82 MAXCY PLAZA CIR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2488
Country : US
Telephone Number : 863-421-9700
Fax Number : 863-421-1953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 09/15/2022

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