Desousa, Garcia Jose

Desousa, Garcia Jose is an individual health care provider with primary practice located at 3334 66Th St N , St Petersburg FL 33710-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Desousa, Garcia Jose can be contacted via phone (727) 341-1333.

Contact Information

Primary practice address
3334 66Th St N St Petersburg FL 33710-1539
Phone: (727) 341-1333
Fax: (727) 347-8675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0040506 Florida

Profile Details

NPI number 1053394270
LBN Legal business name Desousa, Garcia Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jun 19th, 2008 - about 16 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 1053394270 NPPES
Florida MEDICAID 047747800

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