Individual
V JOHN DSOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD SC
Contact information
Practice address
576 STERTHAUS AVE, SUITE A, ORMOND BEACH, FL 32174-5128
(386) 677-7260
(386) 672-6194
Mailing address
PO BOX 741240, ORANGE CITY, FL 32774-1240
(386) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME55087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064866300
—
FL
01
—
290005709
RRMC
—
01
—
P00277876
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
02/01/2012
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