Souffrant, Dilsa Marie

Souffrant, Dilsa Marie is an sole proprietor health care provider with primary practice located at 1545 9Th St Sw , Vero Beach FL 32962-4312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Souffrant, Dilsa Marie can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1545 9Th St Sw Vero Beach FL 32962-4312
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TRAINEE Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS18704 Florida

Profile Details

NPI number 1639638919
LBN Legal business name Souffrant, Dilsa Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2019
Last updated Aug 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639638919 NPPES
Florida MEDICAID 114201500

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