Individual
DR. GEMMA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 W GRANADA BLVD, SUITE 1, ORMOND BEACH, FL 32174
(386) 673-2770
(386) 673-2760
Mailing address
725 W GRANADA BLVD, SUITE 1, ORMOND BEACH, FL 32174
(386) 673-2770
(386) 673-2760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0056430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251136300
—
FL
01
—
50351
BCBS
FL
01
—
ME0056430
VOLUSIA HEALTH NETWORK
FL
Enumeration date
09/29/2005
Last updated
06/27/2014
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