Individual
GILMAR F SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
8000 S ORANGE AVE STE 111, ORLANDO, FL 32809-6747
(407) 240-7003
(407) 240-7003
Mailing address
8000 S ORANGE AVE STE 111, ORLANDO, FL 32809-6747
(407) 240-7007
(407) 240-7007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S200-286-61-056-0
DRIVER LICENSE
FL
Enumeration date
02/28/2023
Last updated
02/28/2023
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