Individual
DR. CLEBERTON SOUSA BASTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7121 GRAND NATIONAL DR STE 102, ORLANDO, FL 32819-8390
(407) 308-8878
Mailing address
7121 GRAND NATIONAL DR STE 102, ORLANDO, FL 32819-8390
(407) 308-8878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10748
FL
Other
Enumeration date
10/01/2012
Last updated
03/21/2024
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