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Individual

BUIE SUMMERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
173 NW ALBRITTON LN, LAKE CITY, FL 32055-4451
(386) 755-4020
(386) 752-9143
Mailing address
23476 NW 186TH AVE, HIGH SPRINGS, FL 32643-0673
(386) 454-0698
(386) 454-0690

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9529553
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11037613
FL

Other

Enumeration date
01/30/2025
Last updated
02/10/2025
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