Individual provider · Type 1 NPI

Summer Abukhodeir

Acute Care Nurse Practitioner · Lake Wales, FL

NPI number 1104353168 Active

Practice location

858 Redwood Way
Lake Wales, FL 33898-9130

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 4202 E Fowler Ave Stop SHS100, Tampa, FL 33620-9130 · (813) 974-2201

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XARNP9384750 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104353168

Summer Abukhodeir's National Provider Identifier is 1104353168, issued on May 20, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lake Wales, FL. The record was last updated on Jul 21, 2022.