MEDICARE: CHRISTOPHER SZERBIAK

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	225X00000X	Occupational Therapist
2	225X00000X	Occupational Therapist	OT21855	FL

General Provider Information

NPI Number	:	1518532233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SZERBIAK

Provider Business Mailing Address
First Line	:	16007 BURNHAM WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2032
Country	:	US
Telephone Number	:	813-417-9311
Fax Number	:

Provider Business Practice Location Address
First Line	:	16007 BURNHAM WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2032
Country	:	US
Telephone Number	:	813-417-9311
Fax Number	:

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

Provider Enumeration Date	:	05/25/2021
Last Update Date	:	05/25/2021

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Directions to “ CHRISTOPHER SZERBIAK ” Practice Location

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