Provider Demographics
NPI:1679858179
Name:SUMMERSGILL, JANICE L
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:SUMMERSGILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4547 SATINLEAF LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9240
Mailing Address - Country:US
Mailing Address - Phone:941-923-6542
Mailing Address - Fax:
Practice Address - Street 1:5824 BEE RIDGE RD # 216
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5065
Practice Address - Country:US
Practice Address - Phone:941-923-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator