Summers Anti-Aging Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUMMERS ANTI-AGING CENTER LLC

Practice address

5015 4TH St N
Saint Petersburg, FL 33703-2945

Phone

(727) 709-5058

NPI assigned

Jan 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Janice Alexandra Summers, MDNPI 1942318191

Title

Owner/Provider

Phone

(727) 709-5058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Alexandra Summers, MD

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1942318191
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1801666821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032945",
            "telephone_number": "727-709-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032945",
            "telephone_number": "727-709-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS ANTI-AGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "727-709-5058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi R Sullivan
• Lauren Sullivan
• Matthew Burton Sullivan, MS CCC SLP
• Sumilang Investement Group, LLC (Angel Care Assisted Living Facility)
• Celeste Elaine Summer, OTR
• Janice Alexandra Summers, MD
• Summit Living LLC
• Summit Path Mental Health Limited Liability Company
• Alexandra Christine Summitt, D.N.P.
• Nancy Virginia Summitt, CRNA

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.