Provider Demographics
NPI:1457053993
Name:SANZ, JESSIKA (DO)
Entity type:Individual
Prefix:DR
First Name:JESSIKA
Middle Name:
Last Name:SANZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W OAK ST STE 201
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4998
Mailing Address - Country:US
Mailing Address - Phone:407-518-3347
Mailing Address - Fax:
Practice Address - Street 1:1410 W BROADWAY ST STE 205
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6472
Practice Address - Country:US
Practice Address - Phone:407-359-2100
Practice Address - Fax:352-329-4376
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program