MEDICARE: KARA ELIZABETH MAGUIRE

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	101YM0800X	Mental Health Counselor	25771	FL
2	1041C0700X	Clinical Social Worker	25771	FL

General Provider Information

NPI Number	:	1558222083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA ELIZABETH MAGUIRE

Provider Business Mailing Address
First Line	:	4253 COQUINA CIR BLDG 76
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-5153
Country	:	US
Telephone Number	:	813-545-7737
Fax Number	:	813-545-7737

Provider Business Practice Location Address
First Line	:	5915 BENJAMIN CENTER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5239
Country	:	US
Telephone Number	:	813-887-3300
Fax Number	:

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

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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