Individual
CARISSA J SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
Mailing address
13600 ICOT BLVD, BLDG A, CLEARWATER, FL 33760-3703
(888) 290-6321
(888) 875-1592
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3665700
—
FL
Enumeration date
07/09/2008
Last updated
05/21/2024
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