Individual
SUMMER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
9330 US HIGHWAY 301 S, RIVERVIEW, FL 33578-6300
(656) 233-5628
Mailing address
8624 HOLLY GROVE CT, RIVERVIEW, FL 33578-5095
(850) 212-2568
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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