Healthcare Provider Details

I. General information

NPI: 1124942263
Provider Name (Legal Business Name): DELSANDZ TELEWELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7821 MIRAMAR PKWY
ST MIRAMAR FL
33023
US

IV. Provider business mailing address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 754-216-5457
  • Fax:
Mailing address:
  • Phone: 754-216-5457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA STAUFFER
Title or Position: MANAGING PARTNER
Credential: PMHNP-BC
Phone: 954-609-9768