Raynita C D Souza GULFCOAST MD PA

Address: 14090 Metropolis Ave, Fort Myers, FL 33912-4451
Phone: 2392256304

Raynita C D Souza (NPI# 1467468579, PAC ID# 3274506225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1467468579
PAC ID by PECOS 3274506225
Professional Enrollment ID I20040817001105
Full Name Raynita C D Souza
Organization Legal Name GULFCOAST MD PA
Address 14090 Metropolis Ave
Fort Myers
FL 33912-4451
Phone Number 2392256304
Gender F
Credential MD
Graduation Year 1996
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 8527132661
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100220 GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
100244 CAPE CORAL HOSPITAL
100012 LEE MEMORIAL HOSPITAL
100018 NAPLES COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
14090 Metropolis Ave, Fort Myers, FL 33912-4451 2392256304 GULFCOAST MD PA
14090 Metropolis Ave, Suite 102, Fort Myers, FL 33912-4451 2392256304 GULFCOAST MD PA

Organization Information

Organization Legal Name GULFCOAST MD PA
Physicians 2

Physicians with the same location

Name Specialty Organization Address
Melwyn Dsouza INTERNAL MEDICINE GULFCOAST MD PA 14090 Metropolis Ave Suite 102, Fort Myers

Office Location

Street Address 14090 METROPOLIS AVE
City FORT MYERS
State FL
Zip 33912-4451

Physicians with the same location

Name Specialty Organization Address
John H Kellenberger Sr. CHIROPRACTIC STEVENS FAMILY CHIROPRACTIC P L 14090 Metropolis Ave, Fort Myers
Melwyn Dsouza INTERNAL MEDICINE GULFCOAST MD PA 14090 Metropolis Ave Suite 102, Fort Myers
Linda D Stevens CHIROPRACTIC STEVENS FAMILY CHIROPRACTIC P L 14090 Metropolis Ave Suite 101, Fort Myers

Competitor

Search similar physicians

City FORT MYERS
Zip Code 33912
Specialty INTERNAL MEDICINE
City + Specialty FORT MYERS + 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.