Individual
MICHAEL L DOUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 CARE DR STE 206, TALLAHASSEE, FL 32308-4489
(850) 402-3104
Mailing address
2626 CARE DR STE 105, TALLAHASSEE, FL 32308-4489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
48138
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
48138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042874400
—
FL
Enumeration date
06/05/2006
Last updated
02/24/2020
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