Individual
SUMMER BRYANT ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 300-3642
Mailing address
6800 38TH AVE N, ST PETERSBURG, FL 33710-1422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100539
GA
207Q00000X
Family Medicine Physician
OS19551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEA
DEA
FL
Enumeration date
03/30/2021
Last updated
10/01/2025
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