Sica, Carissa J

Sica, Carissa J is an individual health care provider with primary practice located at 6021 142Nd Ave N , Clearwater FL 33760-2822. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Sica, Carissa J can be contacted via phone (727) 796-6900.

Contact Information

Primary practice address
6021 142Nd Ave N Clearwater FL 33760-2822
Phone: (727) 796-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3376 Florida

Profile Details

NPI number 1730342791
LBN Legal business name Sica, Carissa J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated May 21st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730342791 NPPES
Florida MEDICAID 3665700

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