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NPI Code Detail

MEDICARE: ZACHARY SUMMERS DPT

MEDICARE: ZACHARY SUMMERS DPT
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
1225100000XPhysical TherapistPT27582FL

General Provider Information

NPI Number : 1598011660
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY SUMMERS DPT
Provider Business Mailing Address
First Line : 315 E HARWOOD ST
Second Line : UNIT 1
City : ORLANDO
State : FL
Zip : 32801-1551
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 405 LAKE HOWELL RD
Second Line : SUITE 1031
City : MAITLAND
State : FL
Zip : 32751-5926
Country : US
Telephone Number : 407-671-0433
Fax Number : 407-671-2433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2012
Last Update Date : 07/26/2012

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