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KHAWLA AMAWI ARNP

>> General Acute Care Hospital >> Hospitals

Registrant NPI Number: 1942690748

Individual Registrant:
 KHAWLA  AMAWI ARNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1110 BEL AIRE DR  DAYTONA BEACH, FL 32118-3637 US
Tel: 386-295-1589  Fax: --

Contact information for business:
1690 DUNLAWTON AVE  PORT ORANGE, FL 32127-8979 US
Tel: 386-763-4920  Fax: --

Registration Information:
NPI: 1942690748
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N282N00000XHospitals
General Acute Care Hospital
FL9333520
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FL9333520

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDRCRUYFL01




HEALTH CARE JOBS FL - Page 1



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