Individual
JILL MICHELLE SUMFEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 265-0761
Mailing address
PO BOX 100109, GAINESVILLE, FL 32610-0190
(352) 265-0761
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
04-24616
KS
208C00000X
Colon & Rectal Surgery Physician
Primary
ME99064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024859900
—
FL
05
—
10014960B
—
KS
Enumeration date
07/08/2006
Last updated
07/20/2018
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