MEDICARE: DEBRA HAAS

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	224Z00000X	Occupational Therapy Assistant	OP001451L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OP001451L	OTHER	PA	STATE LIC

General Provider Information

NPI Number	:	1396904355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA HAAS

Provider Business Mailing Address
First Line	:	3687 TAMPA RD STE 200
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3687 TAMPA RD STE 200
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6313
Country	:	US
Telephone Number	:	813-471-0152
Fax Number	:

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	04/20/2015

Similar Medicare Providers

1780062166 — BRIDGET BARNHILL
Practice Location Address:

3687 TAMPA RD STE 200
OLDSMAR, FL
34677-6313

Practice Phone: 813-792-3470
Practice Fax:

1699772681 — JOEL IRA FRANCK MD.
Practice Location Address:

3180 CURLEW ROAD , SUITE 106
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1417956293 — HOWARD N CHIPMAN III M.D.
Practice Location Address:

3705 TAMPA RD , STE 22
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Practice Phone: 813-891-6343
Practice Fax: 813-891-6342

1497754014 — DR. AMANDA MAN WU M.D.
Practice Location Address:

4028 TAMPA RD
OLDSMAR, FL
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Practice Fax: 813-814-9077

1417957325 — ATLANTIS CLINIC PA
Practice Location Address:

3705 TAMPA RD , #22
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1285626762 — JOHN H SHIM MD
Practice Location Address:

309 STATE STREET EAST , SUITE 201
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34677

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Directions to “ DEBRA HAAS ” Practice Location

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