Individual
CRISTIANE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4750 THE GROVE DRIVE, SUITE 200, WINDERMERE, FL 34786-8425
(407) 217-5042
(407) 540-9565
Mailing address
8841 DANFORTH DR., WINDERMERE, FL 34786-9448
(407) 223-5204
(407) 540-9565
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
34813
FL
225100000X
Physical Therapist
Primary
PT34813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107756100
—
FL
Enumeration date
10/29/2019
Last updated
11/05/2020
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