Healthcare Provider Details

I. General information

NPI: 1912777228
Provider Name (Legal Business Name): HAMDAR TRADING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4014 GUNN HWY STE 140
TAMPA FL
33618-8787
US

IV. Provider business mailing address

4014 GUNN HWY STE 140
TAMPA FL
33618-8787
US

V. Phone/Fax

Practice location:
  • Phone: 813-923-9905
  • Fax: 813-921-0586
Mailing address:
  • Phone: 813-923-9905
  • Fax: 813-921-0586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KHADIJA BAZZI HAMDAR
Title or Position: OWNER FOUNDER
Credential: M.S. SPECIAL EDUCATI
Phone: 813-625-6819