Provider Demographics
NPI:1851501654
Name:VIZCAY, SARA CARIDAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:CARIDAD
Last Name:VIZCAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6712 W LINEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-4953
Mailing Address - Country:US
Mailing Address - Phone:813-630-3059
Mailing Address - Fax:813-630-3094
Practice Address - Street 1:6702 W LINEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-4953
Practice Address - Country:US
Practice Address - Phone:813-630-3059
Practice Address - Fax:813-630-3094
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine