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JULIET ALEENE SUMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 343-5500
(813) 353-5506
Mailing address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 343-5500
(813) 343-5506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9105885
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004244300
FL
Enumeration date
02/22/2011
Last updated
02/08/2012
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