Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUMMER MOON, DO
ActiveSUMMER MOON, DO is a Dermatology healthcare provider located in LARGO, Florida. NPI 1457765968 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LARGO, FL
Registration Details
- NPI Number
- 1457765968
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2014 (12.200396701312 yrs)
- Last Updated
- Nov 20, 2018
- Licenses
-
5101021452 (MI)OS14644 (FL)OS14644 (FL)
Practice Information
- Address
-
115 HIGHLAND AVE NLARGO, FL, 33770Browse FL providers · Browse ZIP 33770
- Phone
- 7275858591
- Fax
- 7275840614
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Providers in LARGO, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW BRENT ZOOK | MD, PHD | 1275740391 |
| DR. CHRISTOPHER J BALLARD | MD | 1164679668 |
| WHITNEY LAPOLLA DELOZIER | MD | 1770726499 |
| LANA MCKINLEY | DO | 1083949010 |
| ALEXANDER DANE | D.O. | 1649619982 |
| NICHOLAS BRADFORD CASTNER | MD | 1992201875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.