Individual
HEATHER LEANNE CURTISS AGAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 396-9644
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75614
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/07/2007
Last updated
02/18/2021
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