MEDICARE: ELISTRIA ENJONLI WARREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1184955452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISTRIA ENJONLI WARREN

Provider Business Mailing Address
First Line	:	13139 W LINEBAUGH AVE
Second Line	:	SUITE 201
City	:	TAMPA
State	:	FL
Zip	:	33626-4498
Country	:	US
Telephone Number	:	813-932-3013
Fax Number	:	813-932-3016

Provider Business Practice Location Address
First Line	:	13139 W LINEBAUGH AVE
Second Line	:	SUITE 201
City	:	TAMPA
State	:	FL
Zip	:	33626-4498
Country	:	US
Telephone Number	:	813-932-3013
Fax Number	:	813-932-3016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2010
Last Update Date	:	01/26/2010

Similar Medicare Providers

1568328482 — NKECHI NWOKEDI
Practice Location Address:

13139 W LINEBAUGH AVE STE 102
TAMPA, FL
33626-4498

Practice Phone: 877-823-4283
Practice Fax:

1548402274 — GRACE SUNDARRAO
Practice Location Address:

13139 W LINEBAUGH AVE STE 201
TAMPA, FL
33626-4498

Practice Phone: 813-932-3013
Practice Fax: 813-932-3016

1750516779 — DENISSE ALBURQUERQUE
Practice Location Address:

13139 W LINEBAUGH AVE , UNIT 201
TAMPA, FL
33626-4498

Practice Phone: 813-932-3013
Practice Fax:

1356570097 — MS. SYLVIA JUANITA TURNER
Practice Location Address:

13139 W LINEBAUGH AVE , UNIT 201
TAMPA, FL
33626-4498

Practice Phone: 813-932-3013
Practice Fax: 813-932-3016

1063735173 — JACQUELINE RISLEY REECE
Practice Location Address:

13139 W LINEBAUGH AVE , UNIT 201
TAMPA, FL
33626-4498

Practice Phone: 813-932-3013
Practice Fax: 813-932-3016

1114234606 — MISS NATALEIGH ANNE SANCHEZ OTR
Practice Location Address:

13139 W LINEBAUGH AVE , #201
TAMPA, FL
33626-4498

Practice Phone: 813-932-3013
Practice Fax: 813-932-3016

Directions to “ ELISTRIA ENJONLI WARREN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.