Provider Demographics
NPI:1932278645
Name:SAPIN-ANCHETA, ELLAINE
Entity Type:Individual
Prefix:
First Name:ELLAINE
Middle Name:
Last Name:SAPIN-ANCHETA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8224 NATURE COVE WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3224
Mailing Address - Country:US
Mailing Address - Phone:813-975-0345
Mailing Address - Fax:
Practice Address - Street 1:3500 E FLETCHER AVE STE 110
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4789
Practice Address - Country:US
Practice Address - Phone:813-971-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT6594OtherLICENSE#