Dilsa Marie Souffrant
DO | Pediatrics | Female
Dilsa Marie Souffrant, DO is a Vero Beach, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dilsa Marie Souffrant is
1545 9th St Sw, Vero Beach, Florida - 32962-4312. She can be contacted on phone at
772-257-8224 and fax number 772-213-3157.
Dilsa Marie Souffrant is a sole proprietor of her business.
NPI number (Unique professional ID) for Dilsa Marie Souffrant is
1639638919 which was assigned by NPPES on 17 Mar, 2019 and it was last updated on 30 Aug, 2022.
Dilsa Marie Souffrant license number is
OS18704 for Pediatrics (208000000X) in Florida.
Dilsa Marie Souffrant is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dilsa Marie Souffrant basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dilsa Marie Souffrant |
|---|
| Credential : | DO |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dilsa Marie Souffrant address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1545 9th St Sw
Vero Beach, FL, 32962-4312
United States |
|---|
| Phone Number : | 772-257-8224 |
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| Fax Number : | 772-213-3157 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639638919 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Mar, 2019 |
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| Last Updated On : | 30 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dilsa Marie Souffrant are as mentioned. Primary taxonomy code for Dilsa Marie Souffrant, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | trainee | FL |
| 208000000X | Pediatrics | Yes | OS18704 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dilsa Marie Souffrant such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 114201500 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1553 US HIGHWAY 1,
VERO BEACH, FL, 32960-5735
United States | VERO BEACH, FL | 772-257-8224 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1545 9th St Sw
Vero Beach, FL, 32962-4312
United States |
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| Phone Number : | 772-257-8224 |
|---|
| Fax Number : | 772-213-3157 |
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Business Location:
Patients can refer following map for directions to
Dilsa Marie Souffrant practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.