Provider Demographics
NPI:1801377072
Name:SOMERS, JOHN A (APRN)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:SOMERS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4118
Mailing Address - Country:US
Mailing Address - Phone:352-732-0277
Mailing Address - Fax:352-732-6574
Practice Address - Street 1:2850 SE 3RD CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0440
Practice Address - Country:US
Practice Address - Phone:352-732-6474
Practice Address - Fax:352-732-7205
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9365856208800000X, 363L00000X
FLARNP9365856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208800000XAllopathic & Osteopathic PhysiciansUrology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily