Most Relevant Information
Provider Data
| NPI Number: | 1003371469 |
| Provider Name: | SUMMER SQUILLACIOTI |
| Entity Type: | Individual |
| Taxonomy Code: | 174N00000X |
| Specialty: | Lactation Consultant, Non-RN |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2019 |
| Last Updated: | 11/08/2024 |
Provider Practice Location
301 ANORAK ST
GROVELAND
FL
347369543
Practice Location Phone/Fax
| Phone: | 5614606113 |
| Fax: |
Provider Mailing Location
301 ANORAK ST
GROVELAND
FL
347369543
Provider Mailing Phone/Fax
| Phone: | 5614606113 |
| Fax: |