Vivian D'souza


Address: 576 Sterthaus Dr, Suite A, Ormond Beach, FL 32174-5128

Vivian D'souza (NPI# 1417924689, PAC ID# 8729074240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1417924689
PAC ID by PECOS 8729074240
Professional Enrollment ID I20040421001053
Full Name Vivian D'souza
Address 576 Sterthaus Dr
Suite A
Ormond Beach
FL 32174-5128
Gender M
Credential MD
Graduation Year 1972
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PULMONARY DISEASE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100068 FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
100017 HALIFAX HEALTH MEDICAL CENTER
100118 FLORIDA HOSPITAL FLAGLER
100014 FLORIDA HOSPITAL NEW SMYRNA

Other Locations

Address Phone Organization
576 Sterthaus Dr, Suite A, Ormond Beach, FL 32174-5128

Organization Information

Office Location

Street Address 576 STERTHAUS DR
SUITE A
City ORMOND BEACH
State FL
Zip 32174-5128

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Competitor

Search similar physicians

City ORMOND BEACH
Zip Code 32174
Specialty INTERNAL MEDICINE
City + Specialty ORMOND BEACH + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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