Individual
DR. FREDERICO DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 N KENDALL DR DEPT OF, MIAMI, FL 33176-2118
(786) 596-2314
Mailing address
PO BOX 919336, ORLANDO, FL 32891-0001
(800) 841-4236
(706) 653-1230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
227694
MA
2085R0202X
Diagnostic Radiology Physician
21100
MS
2085R0202X
Diagnostic Radiology Physician
Primary
ME132332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156805
—
AL
Enumeration date
12/29/2008
Last updated
11/13/2019
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