MEDICARE: JAVED AMIR MOHAMMED OTD, OTR/L, CSRS

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	OT23015	FL

General Provider Information

NPI Number	:	1033074216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVED AMIR MOHAMMED OTD, OTR/L, CSRS

Provider Business Mailing Address
First Line	:	2621 11TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33704-2605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 TYRONE BLVD N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-6309
Country	:	US
Telephone Number	:	727-231-7500
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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