Provider Demographics
NPI:1104650092
Name:SESSKIN, KARLA CECILIA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:CECILIA
Last Name:SESSKIN
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 1:6809 MOONLIT DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1631
Mailing Address - Country:US
Mailing Address - Phone:516-468-4256
Mailing Address - Fax:
Practice Address - Street 1:14851 LYONS RD # 106B
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9010
Practice Address - Country:US
Practice Address - Phone:516-468-4256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50-44-1902546246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other