Individual
NICOLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 S INDIANA AVE, ENGLEWOOD, FL 34223-3305
(941) 473-7787
(941) 473-8817
Mailing address
1110 ALETHA AVE, PORT CHARLOTTE, FL 33948-7602
(225) 241-4912
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
57834
FL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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