Sophia Kibuismith
Sophia Kibuismith is an Adult Care Home Facility in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
4811 5th Ave SSt Petersburg, FL 33711-1421
Phone: (425) 246-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 6907085 (FL) |
|---|
Record details
| NPI number | 1346012572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2023 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 22, 2023 |
| Mailing address | 4811 5th Ave S, St Petersburg, FL 33711-1421 |
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