MICHAEL P DESOUZA MD PA
Osteopathic Medicine at Junior St, Orange City, FL

License number
Florida ME0062917
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MICHAEL PATRICK DESOUZA MD
Title: PRESIDENT
Phone: (386) 774-5755
Address
Address
2521 Junior St, Orange City, FL 32763
National Provider ID: 1255678355
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael P. Desouza, M.D., PA

2521 Junior St, Orange City, FL 32763

Registration:
Feb 25, 1994
State ID:
P94000015502
Business type:
Domestic for Profit Corporation
Director:
Michael P. Desouza (Director)

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