Individual
LUIZ DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 BAY PINES BLVD, BUILDING 2, ROOM 328, BAY PINES, FL 33744
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BUILDING 2, ROOM 328, BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME139824
FL
Other
Enumeration date
04/05/2015
Last updated
09/27/2021
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