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NPI Code Detail

MEDICARE: SANDRA E. DSOUZA DO

MEDICARE:   SANDRA E. DSOUZA  DO
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
1207Q00000XFamily Medicine PhysicianOS21789FL

General Provider Information

NPI Number : 1871066571
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA E. DSOUZA DO
Provider Business Mailing Address
First Line : 8727 TEMPLE TERRACE HWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-6700
Country : US
Telephone Number : 813-796-5400
Fax Number : 813-776-0079
Provider Business Practice Location Address
First Line : 8727 TEMPLE TERRACE HWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-6700
Country : US
Telephone Number : 813-796-5400
Fax Number : 813-776-0079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 01/14/2025

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Directions to “ SANDRA E. DSOUZA DO” Practice Location

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