Souza, Manuel John
Souza, Manuel John is an individual health care provider with primary practice located at 23 Barkley Cir , Fort Myers FL 33907-7531. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Souza, Manuel John can be contacted via phone (239) 333-1177.Contact Information
Primary practice address
23 Barkley Cir
Fort Myers FL 33907-7531
Phone: (239) 333-1177
Fax: (239) 333-1169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 193850 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9168451 | Florida |
Profile Details
| NPI number | 1962458257 |
|---|---|
| LBN Legal business name | Souza, Manuel John |
| Credentials | MS, ANP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Dec 2nd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962458257 | NPPES |
| Florida | Other | Y9368 | BLUE SHIELD |
| Florida | Other | 500018529 | BLUE SHIELD |
| Florida | MEDICAID | 303290600 | BLUE SHIELD |
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