Warren Randall Sumner in Tampa - Surgical
Warren Randall Sumner - NPI 1609866219
Warren Randall Sumner is a Surgical in Tampa, Florida. Warren Randall Sumner practices all healthcare services and medical treatments related to Surgical. The NPI Number for Warren Randall Sumner is 1609866219. The last update date is 2022-02-10.
Warren Randall Sumner's current location address is 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8133216580 and fax number 8134438185. The mailing address for Warren Randall Sumner is 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Warren Randall Sumner |
|---|---|
| Address | 3003 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Phone Number | 8133216580 |
| Fax Number | 8134438185 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609866219 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2022-02-10 |
Provider Mailing Address Detail
| Address | 3003 W Dr Martin Luther King Jr Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336076307 |
| Phone Number | 8133216580 |
| Fax Number | 8134438185 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3541 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 404215 | GA | WELLCARE | |
| 15768600 | FL | -- | |
| 100001160D | GA | -- | |
| 1067693 | GA | AMERIGROUP | |
| P00679501 | GA | RR MEDICARE | |
| 0155PA | SC | -- |
Post Comment/ Review Below
Could you provide the complete address where Warren Randall Sumner is physically located?
The Warren Randall Sumner is situated at the following address: 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 336076307.
What is Warren Randall Sumner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Warren Randall Sumner's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date was the 1609866219 assigned to Warren Randall Sumner?
The Warren Randall Sumner was issued its 1609866219 on 2005-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Warren Randall Sumner most recently updated?
The details pertaining to the Warren Randall Sumner, including its address, specialty, and other relevant information, were last refreshed on 2022-02-10.
As of what date was the information pertaining to Warren Randall Sumner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Warren Randall Sumner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-10.