Healthcare Provider Details

I. General information

NPI: 1215617352
Provider Name (Legal Business Name): MARIA JOSE VERA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 5TH STREET SOUTH SUITE 3100
ST PETERSBURG FL
33701
US

IV. Provider business mailing address

600 5TH STREET SOUTH SUITE 3100
ST PETERSBURG FL
33701
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-3598
  • Fax: 727-767-4379
Mailing address:
  • Phone: 727-767-3598
  • Fax: 727-767-4379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL.6065R
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: