Individual
DR. FELIPE PORTO DE SOUZA SUPLICY
Active
Individual
DR. FELIPE PORTO DE SOUZA SUPLICY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
TRN14128
FL
2084P0800X
Psychiatry Physician
64763
GA
2084P0800X
Psychiatry Physician
Primary
MDR-4822
HI
Other
Enumeration date
05/21/2007
Last updated
07/22/2010
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