OrganizationRoslyn M Tabor Md Llc(Summa Family Medical Center)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411(225) 757-8185PECOS EnrollmentBased on the most recent information from CMS, provider Roslyn M Tabor Md Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1770758542Provider TypeOrganizationFull NameRoslyn M Tabor Md LlcOther NameSumma Family Medical CenterSubpartNoEnumeration Date4/23/2008Last Updated4/23/2008Contact InformationPractice LocationPractice Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411Phone(225) 757-8185Fax(225) 757-3837Mailing LocationMailing Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411Phone(225) 757-8185Fax(225) 757-3837Authorized OfficialNameStewart, Susan (Office Manager)Phone(225) 757-8185Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense017770LouisianaProvider IdentifiersIDDescriptionIssuerID1693294DescriptionMedicaidIssuerUnlistedLouisiana