Abukhodeir, Summer

Abukhodeir, Summer is an individual health care provider with primary practice located at 858 Redwood Way , Lake Wales FL 33898-9130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Abukhodeir, Summer can be contacted via phone (863) 232-7604.

Contact Information

Primary practice address
858 Redwood Way Lake Wales FL 33898-9130
Phone: (863) 232-7604
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9384750 Florida

Profile Details

NPI number 1104353168
LBN Legal business name Abukhodeir, Summer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104353168 NPPES
Florida Other J2DQT BLUE CROSS BLUE SHIELD
Florida MEDICAID 105431300 BLUE CROSS BLUE SHIELD
Florida Other L6972 BLUE CROSS BLUE SHIELD

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