Douso, Michael L

Douso, Michael L is an sole proprietor health care provider with primary practice located at 2626 Care Dr Ste 206 , Tallahassee FL 32308-4489. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Douso, Michael L can be contacted via phone (850) 402-3104.

Contact Information

Primary practice address
2626 Care Dr Ste 206 Tallahassee FL 32308-4489
Phone: (850) 402-3104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 48138 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 48138 Florida

Profile Details

NPI number 1053350199
LBN Legal business name Douso, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Feb 24th, 2020 - about 5 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 1053350199 NPPES
Florida MEDICAID 042874400

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