Individual
CARLA DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-6199
Mailing address
6910 JAMESTOWN MANOR DR, RIVERVIEW, FL 33578-8303
(813) 598-1081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11029849
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11029849
FL
Other
Enumeration date
12/11/2023
Last updated
01/24/2025
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