Amawi, Khawla

Amawi, Khawla is an sole proprietor health care provider with primary practice located at 1690 Dunlawton Ave Ste 210 , Port Orange FL 32127-8980. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amawi, Khawla can be contacted via phone (386) 763-4920.

Contact Information

Primary practice address
1690 Dunlawton Ave Ste 210 Port Orange FL 32127-8980
Phone: (386) 763-4920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 9333520 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9333520 Florida

Profile Details

NPI number 1942690748
LBN Legal business name Amawi, Khawla
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2015
Last updated Oct 16th, 2022 - about 2 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 1942690748 NPPES
Florida Other RCRUY BLUE CROSS BLUE SHIELD

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