Individual
DR. STEPHEN DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7424 US HIGHWAY 64 STE 111, BARTLETT, TN 38133-8937
(901) 372-3573
Mailing address
2320 N DUNWOODIE RD, AVON PARK, FL 33825-9310
(347) 583-0399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21172
FL
207Q00000X
Family Medicine Physician
Primary
57359
TN
207Q00000X
Family Medicine Physician
CO412
KY
207Q00000X
Family Medicine Physician
ME129120
FL
Other
Enumeration date
05/29/2015
Last updated
09/25/2025
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