Divincenzo, Summer Lynn

Divincenzo, Summer Lynn is an individual health care provider with primary practice located at 4430 Sheridan St Ste B , Hollywood FL 33021-3546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Divincenzo, Summer Lynn can be contacted via phone (954) 963-5437.

Contact Information

Primary practice address
4430 Sheridan St Ste B Hollywood FL 33021-3546
Phone: (954) 963-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9254933 Florida

Profile Details

NPI number 1366953242
LBN Legal business name Divincenzo, Summer Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Jul 27th, 2020 - about 6 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 1366953242 NPPES
Florida Other ARNP9254933 ARNP LICENSE NUMBER

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