MEDICARE: SUMMER HEALTH CARE INC

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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1770784381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMER HEALTH CARE INC

Provider Business Mailing Address
First Line	:	3750 W 16TH AVE STE 216
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4648
Country	:	US
Telephone Number	:	786-587-3553
Fax Number	:	305-558-6312

Provider Business Practice Location Address
First Line	:	3750 W 16TH AVE STE 216
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4648
Country	:	US
Telephone Number	:	305-558-6684
Fax Number	:	305-558-6312

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LAURA AMALFI
Credential	:
Telephone Number	:	305-558-6684

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	02/22/2008

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Directions to “SUMMER HEALTH CARE INC ” Practice Location

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