Individual
CALISIA SAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19046 BRUCE B DOWNS BLVD STE B6-703, TAMPA, FL 33647
(813) 401-4005
Mailing address
19046 BRUCE B DOWNS BLVD STE B6-703, TAMPA, FL 33647-2434
(813) 401-4005
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
05/31/2019
Last updated
05/31/2019
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