Individual
KATHI SUMERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4030 W BOY SCOUT BLVD STE 800, TAMPA, FL 33607-5713
(813) 286-0033
(813) 282-1806
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN9367085
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9367085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103071300
—
FL
01
—
LF262
MEDICARE
FL
Enumeration date
08/04/2015
Last updated
09/16/2024
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