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Individual

CLINTON DSOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8727 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6700
(813) 796-5400
(813) 776-0079
Mailing address
8727 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6700
(813) 796-5400
(813) 776-0079

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351049554
MI
207Q00000X
Family Medicine Physician
Primary
ME173337
FL

Other

Enumeration date
07/01/2022
Last updated
05/05/2025
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