# SUMMERFIELD MEDICAL CLINIC MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568780492
- **Authorized official:** ANDREW HENRY (MD)
- **Authorized official phone:** (813) 741-2473

## Contact information

- **Practice address:** 13055 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
- **Practice address phone:** (813) 813-5462
- **Mailing address:** 13055 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
- **Mailing address phone:** (813) 813-5462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 09/07/2023