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NPI Code Detail

MEDICARE: MICHAEL JUZWA OT

MEDICARE:   MICHAEL  JUZWA  OT
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 TherapistOT9265FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT9265OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1689604183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JUZWA OT
Provider Business Mailing Address
First Line : 7637 HEYWARD CIR
Second Line :
City : BRADENTON
State : FL
Zip : 34201-2050
Country : US
Telephone Number : 941-587-8703
Fax Number :
Provider Business Practice Location Address
First Line : 7637 HEYWARD CIR
Second Line :
City : BRADENTON
State : FL
Zip : 34201-2050
Country : US
Telephone Number : 941-587-8703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL JUZWA OT” Practice Location

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