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MR. MANUEL JOHN SOUZA MS ANP-BC NPI 1962458257


NPI Information

NPI: 1962458257
Provider Name: MR. MANUEL JOHN SOUZA, MS, ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: FIFER AND HELIGMAN MD PA

PECOS Registration: Yes

Address:
23 BARKLEY CIR
FORT MYERS, FL
ZIP 33907
Phone: (239) 333-1177
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MR. Manuel John Souza, MS, ANP-BC is an adult health nurse practitioner in Fort Myers, FL with 26 years of experience. MR. Manuel John Souza, MS, ANP-BC NPI is 1962458257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 BARKLEY CIR
FORT MYERS, FL
ZIP 33907-531
Phone: (239) 333-1177
Fax: (239) 333-1169

The NPI 1962458257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health193850MASSACHUSETTSNo
2363LA2200XNurse PractitionerAdult Health9168451FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y9368OTHERFLORIDABLUE SHIELD
2P21553MEDICARE UPINFLORIDA
3500018529OTHERRAIL ROAD MEDICARE
4303290600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.