Individual
GLENN EDSEL SUMMERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5153 N 9TH AVE, SUITE 305, PENSACOLA, FL 32504-8785
(850) 416-6159
(850) 416-7198
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-6159
(850) 416-7198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME60639
FL
Other
Enumeration date
10/26/2005
Last updated
12/30/2015
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