Provider Demographics
NPI:1922434372
Name:DE SOUZA NETO, ADHERBAL FERREIRA (ARNP, DNP)
Entity Type:Individual
Prefix:MR
First Name:ADHERBAL
Middle Name:FERREIRA
Last Name:DE SOUZA NETO
Suffix:
Gender:M
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 E SUNRISE BLVD APT 2312
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2385
Mailing Address - Country:US
Mailing Address - Phone:281-813-8866
Mailing Address - Fax:
Practice Address - Street 1:1481 SE 17TH ST STE 7
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1709
Practice Address - Country:US
Practice Address - Phone:281-813-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9215294363LW0102X
TX588788363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health