Desouza, Stephanie

Desouza, Stephanie is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Desouza, Stephanie can be contacted via phone (813) 321-6237.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME137758 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME137758 Florida

Profile Details

NPI number 1245694926
LBN Legal business name Desouza, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Aug 15th, 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 1245694926 NPPES
Florida MEDICAID 103762600

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