Healthcare Provider Details

I. General information

NPI: 1093024077
Provider Name (Legal Business Name): MARIA ANTONIA SWITZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 FLYING BLACKBIRD RD
BARTOW FL
33830-2981
US

IV. Provider business mailing address

2946 FLYING BLACKBIRD RD
BARTOW FL
33830-2981
US

V. Phone/Fax

Practice location:
  • Phone: 786-423-4555
  • Fax:
Mailing address:
  • Phone: 786-423-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number21350
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberOTA11325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: