Organization
CARETYME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALISIA SAPP (OWNER)
(813) 401-4005
Entity
Organization
Contact information
Practice address
1923 WEST ST. JOHN STREET, TAMPA, FL 33607
(813) 401-4005
Mailing address
19046 BRUCE B DOWNS BLVD STE B6-703, TAMPA, FL 33647-2434
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750393
—
FL
Enumeration date
06/10/2019
Last updated
06/10/2019
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