MEDICARE: KAYLA M EBERT

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	2355S0801X	Speech-Language Assistant	SI7984	FL

General Provider Information

NPI Number	:	1568393635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA M EBERT

Provider Business Mailing Address
First Line	:	4113 W OKLAHOMA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-1125
Country	:	US
Telephone Number	:	813-244-2576
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3310
Country	:	US
Telephone Number	:	813-269-4879
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ KAYLA M EBERT ” Practice Location

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