Individual
DEBORAH DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 W WALL ST, FROSTPROOF, FL 33843-2043
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
55870
TN
207Q00000X
Family Medicine Physician
Primary
ME126092
FL
207Q00000X
Family Medicine Physician
TRN20185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578813531
—
TN
Enumeration date
06/19/2014
Last updated
01/28/2026
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