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1295336832
MARCO DESOUZA
TAMPA, FL
NPI
1295336832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11009807)
Enumeration Date
2020-11-02
Last Update Date
2021-02-12
Business Address
MARCO DESOUZA PMHNP
7225 N NEBRASKA AVE
TAMPA, FL 33604-4916
Phone number: 813-857-1237
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Mailing Address
MARCO DESOUZA PMHNP
7225 N NEBRASKA AVE
TAMPA, FL 33604-4916
Phone number: 813-857-1237
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