Provider Demographics
NPI:1336302348
Name:MEMON, SUMERA HAROON (DO)
Entity Type:Individual
Prefix:DR
First Name:SUMERA
Middle Name:HAROON
Last Name:MEMON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12950 RACE TRACK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1309
Mailing Address - Country:US
Mailing Address - Phone:813-616-8810
Mailing Address - Fax:813-616-8809
Practice Address - Street 1:12950 RACE TRACK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1309
Practice Address - Country:US
Practice Address - Phone:813-616-8810
Practice Address - Fax:813-616-8809
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017930207P00000X
FLOS 11668207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine