Provider Demographics
NPI:1316830458
Name:SAPP, ANGELITA MELINDA
Entity type:Individual
Prefix:
First Name:ANGELITA
Middle Name:MELINDA
Last Name:SAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 QUEENSBORO AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-2851
Mailing Address - Country:US
Mailing Address - Phone:727-225-7882
Mailing Address - Fax:
Practice Address - Street 1:3510 QUEENSBORO AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-2851
Practice Address - Country:US
Practice Address - Phone:727-225-7882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator