Individual
EILEEN W SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
1028 CANDLEWOOD DR, LAKELAND, FL 33813-2805
(863) 294-1429
(863) 298-0299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
PT20199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889152400
—
FL
Enumeration date
01/11/2007
Last updated
01/31/2023
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