| Clinton Dsouza, | |
|
8727 Temple Terrace Hwy, Temple Terrace, FL 33637-6700 | |
| (813) 796-5400 | |
| (813) 776-0079 |
| Full Name | Clinton Dsouza |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8727 Temple Terrace Hwy, Temple Terrace, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578296133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4351049554 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | ME173337 (Florida) | Primary |
| Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Dsouza, 8727 Temple Terrace Hwy, Temple Terrace, FL 33637-6700 Ph: (813) 796-5400 | Clinton Dsouza, 8727 Temple Terrace Hwy, Temple Terrace, FL 33637-6700 Ph: (813) 796-5400 |
Dr. Austin Louis Ciccati, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 11420 N 56th St, Temple Terrace, FL 33617 Phone: 813-971-3136 Fax: 813-910-3569 | |
Renuka Reddy Katta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 786-868-0012 | |
Andrea Lee Miller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8200 Fax: 813-357-5501 | |
Dr. Aimal Nikamal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Dr. Seon Wook Lee, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Dr. Sierra Lewis Davis, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11420 N 56th St, Temple Terrace, FL 33617 Phone: 813-971-3136 Fax: 813-910-3569 | |
Agnes Ubani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11434 N 53rd Street, Temple Terrace, FL 33617 Phone: 813-341-7900 Fax: 813-341-7903 |