Individual
ANDREW SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-1575
Mailing address
413 POU STATION RD, PENSACOLA, FL 32507
(850) 530-0132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5800
FL
Other
Enumeration date
10/15/2018
Last updated
06/15/2022
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