Individual
GARCIA JOSE DESOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3334 66TH ST N, ST PETERSBURG, FL 33710-1539
(727) 341-1333
(727) 347-8675
Mailing address
3334 66TH ST N, ST PETERSBURG, FL 33710-1539
(727) 341-1333
(727) 347-8675
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0040506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047747800
—
FL
Enumeration date
11/22/2005
Last updated
06/19/2008
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