CAITLIN E D'SOUZA (NPI# 1174933147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174933147 |
| Entity Type | Individual |
| Full Name | CAITLIN E D'SOUZA |
| Credential | DO |
| Practice Address |
14540 Old Saint Augustine Rd Ste 216 Jacksonville FL 32258-7418 |
| Mailing Address |
Po Box 41113 Jacksonville FL 32203-1113 |
| Practice Telephone | 9042248090 |
| Practice Fax Number | 9042248097 |
| Mailing Telephone | 9043764400 |
| Mailing Fax Number | 9043915595 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OS14754 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
OS14754 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14540 OLD SAINT AUGUSTINE RD STE 216 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376745935 | Madhu B Vijayappa | Psychiatry & Neurology | 8984 Sw 64th Ln, Gainesville, FL 32608-8562 | 2007-06-04 |
| 1194837708 | Sally B Zachariah | Psychiatry & Neurology | 10000 Bay Pines Blvd,neurology Section, Vamedical Center,bay Pines, Bay Pines, FL 33744 | 2006-08-31 |
| 1740258110 | Nils H. Mueller-kronast | Psychiatry & Neurology | 8756 Boynton Beach Blvd Ste 2300, Boynton Beach, FL 33472-4439 | 2006-03-10 |
| 1063405975 | Mary June Derbenwick | Psychiatry & Neurology | 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | 2005-08-25 |
| 1215475025 | Miami Stroke, LLC | Psychiatry & Neurology | 11750 Sw 40th St, Miami, FL 33175-3530 | 2017-02-01 |
| 1972918431 | David Stone | Psychiatry & Neurology | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2014-06-24 |
| 1972897023 | North Broward Hospital District | Psychiatry & Neurology | 201 E Sample Rd, Suite 106, Pompano Beach, FL 33064-3502 | 2011-06-07 |
| 1124337290 | Maxim Vladimirovich Mokin | Psychiatry & Neurology | 2 Tampa General Cir, 3rd Floor, Tampa, FL 33606-3603 | 2010-10-06 |
| 1144547134 | Muhammad Zeeshan Memon | Psychiatry & Neurology | 1611 Nw 12th Ave, Miami, FL 33136 | 2010-04-29 |
| 1497966394 | Ridwan Lin | Psychiatry & Neurology | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.