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Individual

SUMMER LYNN DIVINCENZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4430 SHERIDAN ST STE B, HOLLYWOOD, FL 33021-3546
(954) 963-5437
Mailing address
5851 HOLMBERG RD APT 2011, PARKLAND, FL 33067-4525
(954) 415-5821

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9254933
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9254933
ARNP LICENSE NUMBER
FL
Enumeration date
10/18/2017
Last updated
07/27/2020
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