Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME93361 | FL |
N | 208600000X | Surgeon | ME93361 | FL |
Y | 2086X0206X | Surgical Oncologist | ME93361 | FL |
NPI | 1174531586 |
---|---|
Provider Name | Dr. William E Sumner III |
First Address | Jacksonville, FL 32223-1627 |
Second Address | Jacksonville, FL 32204-4763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 22/07/2011 |