Provider Demographics
NPI:1629665476
Name:ANDREA HILARIE SOMMERS MD
Entity Type:Organization
Organization Name:ANDREA HILARIE SOMMERS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SOMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-260-7705
Mailing Address - Street 1:2300 N COMMERCE PKWY STE 313
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3257
Mailing Address - Country:US
Mailing Address - Phone:954-903-9298
Mailing Address - Fax:954-217-2707
Practice Address - Street 1:2300 N COMMERCE PKWY STE 313
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3257
Practice Address - Country:US
Practice Address - Phone:954-903-9298
Practice Address - Fax:954-217-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty