MEDICARE: VALERIA SANTOS DE SOUZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1467301655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA SANTOS DE SOUZA

Provider Business Mailing Address
First Line	:	2121 GREAT FALLS WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4303
Country	:	US
Telephone Number	:	407-683-2241
Fax Number	:

Provider Business Practice Location Address
First Line	:	8865 COMMODITY CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9077
Country	:	US
Telephone Number	:	407-683-2241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ VALERIA SANTOS DE SOUZA ” Practice Location

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