Healthcare Provider Details

I. General information

NPI: 1942089966
Provider Name (Legal Business Name): SHAZIDA SARWAR OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 HIGHLAND OAKS BLVD
LUTZ FL
33559-7323
US

IV. Provider business mailing address

8307 ALBERATA VISTA DR
TAMPA FL
33647-1930
US

V. Phone/Fax

Practice location:
  • Phone: 813-738-9093
  • Fax:
Mailing address:
  • Phone: 347-623-4906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT24514
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: