MEDICARE: DR. JESSIKA SANZ DO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1457053993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSIKA SANZ DO

Provider Business Mailing Address
First Line	:	720 W OAK ST STE 201
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4998
Country	:	US
Telephone Number	:	407-518-3347
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 W BROADWAY ST STE 205
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-6472
Country	:	US
Telephone Number	:	407-359-2100
Fax Number	:	352-329-4376

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	08/19/2025

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