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Contact Information

SUMMER ABUKHODEIR
858 REDWOOD WAY
LAKE WALES, FL33898-9130
 Phone: 863-232-7604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUMMER ABUKHODEIR · (Female)

NPI Number 1104353168
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP9384750
  • FL Medicaid 105431300
  • FL Other J2DQT BLUE CROSS BLUE SHIELD
  • FL Other L6972 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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