IndividualActive
Meagan Sumner, PA-C
NPI 1043084254 · Physician Assistant · Malabar, FL
Provider details
- NPI number
- 1043084254
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA9118981 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
775 Malabar Rd
Malabar, FL 32950-3112
Phone: (321) 241-6800
Fax: (321) 241-6890
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1137
Melbourne, FL 32902-1137
Additional practice locations (1)
- 40 Autumn Fern TrlLillington, NC 27546-5155Phone: (910) 364-0971Fax: (910) 814-4064
Registry dates
- Enumerated
- 2023-11-08
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.