Individual
KAYLA RACQUEL DESUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7472 DOCS GROVE CIR, ORLANDO, FL 32819-8010
(407) 241-1037
(321) 842-7966
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-1450
(561) 548-1459
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
OS21723
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127638700
—
FL
Enumeration date
03/22/2019
Last updated
08/01/2025
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