Individual
DR. ANDREW G SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N MAITLAND AVE STE 102, MAITLAND, FL 32751-4499
(407) 660-7010
(407) 660-7106
Mailing address
800 N MAITLAND AVE STE 102, MAITLAND, FL 32751-4499
(407) 660-7010
(407) 660-7106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME70411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250414600
—
FL
01
—
32106
BCBS
FL
01
—
5752463
AETNA
FL
Enumeration date
10/20/2006
Last updated
07/31/2020
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