Sydney Summers

NPI #1104398023 in Orange Park, Florida

Provider Information

NPI Number: 1104398023
Entity Type: Individual
Name: Sydney Summers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Dec 18, 2018
Last Updated: Jan 10, 2019

Practice Location

Address: 1564 KINGSLEY AVE STE 300
City: Orange Park
State: Florida
ZIP Code: 32073
Phone: (904) 264-8801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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