Dr. Keith Garcia Desousa
Neurologist Vascular Neurology
300 Riverside Dr E Ste 1100
Bradenton
, Florida 34208-1022
Dr. Keith Garcia Desousa
Neurologist Vascular Neurology
300 Riverside Dr E Ste 1100
Bradenton
, Florida 34208-1022
(631) 591-7472
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About
Features
Specialties
- Neurologist
- Vascular Neurology
Languages spoken
- English
Location
First Address
- Dr. Keith Garcia Desousa
- 270 E Main St
- Bay Shore, NY
- Zip : 11706-8420
- Fax : (631) 591-7472
- Phone : (631) 591-7470
Second Address
- Dr. Keith Garcia Desousa
- 300 Riverside Dr E Ste 1100
- Bradenton, FL
- Zip : 34208-1022
- Fax : (941) 702-4204
- Phone : (941) 867-2111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | 272403 | NY |
| N | 2084N0400X | Neurologist | ME112657 | FL |
| N | 2084V0102X | Vascular Neurology | 272403 | NY |
| N | 2084V0102X | Vascular Neurology | ME112657 | FL |
National Provider Identifier
| NPI | 1013140136 |
|---|---|
| Provider Name | Dr. Keith Garcia Desousa |
| First Address | Bay Shore, NY 11706-8420 |
| Second Address | Bradenton, FL 34208-1022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2009 |
| Last Update Date | 08/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.