Sydney Summers

Physician Assistant · Orange Park, FL

Individual Active NPI

NPI number 1104398023

Practice location

1564 Kingsley Ave Ste 300
Orange Park, FL 32073
Phone
(904) 264-8801

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NPI record

NPI
1104398023
Entity type
Individual (Type 1)
Enumeration date
December 18, 2018
Last updated
January 10, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 9111854 FL
Surgical Physician Assistant 363AS0400X — —

Mailing address

7855 Argyle Forest Blvd Ste 101
Jacksonville, FL 32244-5597

Other practice locations (1)

  • 2903 Cottonwood Lane, Colleyville, TX 76034 · (817) 307-7908

About Sydney Summers

Sydney Summers is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1564 Kingsley Ave Ste 300, Orange Park, FL 32073. The NPI number 1104398023 was assigned on December 18, 2018 and the record was last updated on January 10, 2019.

Sydney Summers lists a license in the registry: #9111854 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sydney Summers?

The NPI number is 1104398023.

What is the phone number of Sydney Summers?

The phone number listed for the practice location is (904) 264-8801.

Where is Sydney Summers located?

1564 Kingsley Ave Ste 300, Orange Park, FL 32073.

What is the taxonomy code for Sydney Summers?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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