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NPI Code Detail

MEDICARE: EMMA KOREN SOMMER PA-C

MEDICARE: EMMA KOREN SOMMER PA-C
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
1363A00000XPhysician Assistant10004859AIN
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1932990603
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA KOREN SOMMER PA-C
Provider Business Mailing Address
First Line : 2263 DOUGLAS RD APT 423
Second Line :
City : MIAMI
State : FL
Zip : 33145-3261
Country : US
Telephone Number : 614-961-2266
Fax Number :
Provider Business Practice Location Address
First Line : 1520 S LIBERTY DR
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-5167
Country : US
Telephone Number : 812-676-4500
Fax Number : 812-339-5436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 12/11/2025

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Directions to “ EMMA KOREN SOMMER PA-C” Practice Location

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