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NPI Code Detail

MEDICARE: AMANDA GROZDANIC

MEDICARE: AMANDA GROZDANIC
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
1225X00000XOccupational Therapist

Other Identifiers

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

General Provider Information

NPI Number : 1376996850
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA GROZDANIC
Provider Business Mailing Address
First Line : 4730 85TH AVE N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-1601
Country : US
Telephone Number : 918-810-3109
Fax Number :
Provider Business Practice Location Address
First Line : 13200 MCCORMICK DR STE E-1
Second Line :
City : TAMPA
State : FL
Zip : 33626-3010
Country : US
Telephone Number : 813-814-5971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2016
Last Update Date : 10/17/2022

Similar Medicare Providers

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Practice Location Address:
13200 MCCORMICK DR STE E-1
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33626-3010
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1013018985 — MRS. MELISSSA D ROSENBERG PT
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Practice Fax: 813-814-5972
1558585919 — MRS. FABIOLA I MEJIA
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Practice Location Address:
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TAMPA, FL
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Practice Location Address:
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Practice Fax: 813-814-5972

Directions to “ AMANDA GROZDANIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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