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Contact Information

LARISSA GOUVEA JOSE FELICIO DA COSTA, MD
167 ASHLEY AVE
CHARLESTON, SC29425-8905
 Phone: 843-792-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for LARISSA GOUVEA JOSE FELICIO DA COSTA · (Female)

NPI # 1497533517
Status Active
Credentials MD
Entity Individual
Enumeration date 09/19/2023
Last updated 08/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # MMD90902AL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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