Individual provider · Type 1 NPI

Warren Randall Sumner, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1609866219 Active

Practice location

3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor
Tampa, FL 33607-6307

Call (813) 321-6580 Map

Fax (813) 443-8185

Mailing address

PO Box 10744
Clearwater, FL 33757-8744

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X003541 (GA)
Physician Assistant 363A00000X003541 (GA)
Surgical Physician Assistant Primary 363AS0400XPA9108734 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1609866219

Warren Randall Sumner, PA-C's National Provider Identifier is 1609866219, issued on Oct 25, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Feb 10, 2022.