Individual
MRS. MICHELLE M SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7301 STONEROCK CIR, SUITE 2, ORLANDO, FL 32819-8004
(407) 351-1002
(407) 351-1119
Mailing address
7301 STONEROCK CIR, SUITE 2, ORLANDO, FL 32819-8004
(407) 351-1002
(407) 351-1119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105621
FL
Other
Enumeration date
09/14/2010
Last updated
09/09/2013
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