Healthcare Provider Details

I. General information

NPI: 1205796794
Provider Name (Legal Business Name): DYSOZ ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17700 SW 118TH PL
MIAMI FL
33177-2328
US

IV. Provider business mailing address

17700 SW 118TH PL
MIAMI FL
33177-2328
US

V. Phone/Fax

Practice location:
  • Phone: 786-246-8074
  • Fax:
Mailing address:
  • Phone: 786-246-8074
  • Fax: 786-246-8074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MISS MARIA FERNANDA SOZA SR.
Title or Position: MANAGER
Credential:
Phone: 786-246-8074