Summit Prime Care, INC

NPI #1932475670 in Lady Lake, Florida

Provider Information

NPI Number: 1932475670
Entity Type: Organization
Organization Name: Summit Prime Care, INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 781 HIGHWAY 466
City: Lady Lake
State: Florida
ZIP Code: 32159-6340
Phone: (352) 751-6074

Authorized Official

Name: DANIEL E RIEDERS, MD
Title: DIRECTOR
Phone: (352) 751-6074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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