| Garcia J Desousa Md Pa | |
|
3334 66th St N St Petersburg FL 33710-1539 | |
| (727) 341-1333 | |
| (727) 347-8675 |
| Full Name | Garcia J Desousa Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3334 66th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Garcia Jose Desousa (PRESIDENT) |
| Authorized Official Contact | 7273411333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garcia J Desousa Md Pa 3334 66th St N St Petersburg FL 33710-1539 Ph: (727) 341-1333 | Garcia J Desousa Md Pa 3334 66th St N St Petersburg FL 33710-1539 Ph: (727) 341-1333 |
| NPI Number | 1467660902 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 4284711748 |
|---|---|
| Medicare Enrollment ID | O20080408000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467660902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Garcia J De Sousa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053394270 PECOS PAC ID: 6800971342 Enrollment ID: I20080308000114 |
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