MEDICARE: ANDREA JEWEL SZABADOS PSW

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	101Y00000X	Counselor	9052	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366893067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JEWEL SZABADOS PSW

Provider Business Mailing Address
First Line	:	12402 N 15TH ST APT M
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-4869
Country	:	US
Telephone Number	:	727-543-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6121
Country	:	US
Telephone Number	:	727-284-1980
Fax Number	:	727-284-1981

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	10/07/2024

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