MEDICARE: TARIK KSAIBATI D.O.

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	390200000X	Student in an Organized Health Care Education/Training Program		FL
2	2084P0800X	Psychiatry Physician	OS15152	FL
3	2084P0800X	Psychiatry Physician	H0089254	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1PB09	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780039636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARIK KSAIBATI D.O.

Provider Business Mailing Address
First Line	:	8451 TEMPLE TERRACE HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-5853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 W KENNEDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1848
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:

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

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	01/12/2026

Similar Medicare Providers

1326990540 — HANNAH HEISS
Practice Location Address:

1307 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-893-6000
Practice Fax:

1326502014 — FAWADULHAQ GILLANI
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-821-8038
Practice Fax:

1346700051 — AMIE BETH GERODIMOS DO
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-893-6330
Practice Fax:

1598324600 — GABRIELA FENOLLAL MALDONADO
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-821-8038
Practice Fax:

1205412806 — DR. KYRA-ANNE JHENELL FORREST MD
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-821-8038
Practice Fax:

1346908068 — TAMPA REHABILITATION HOSPITAL, LLC
Practice Location Address:

1307 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-893-6000
Practice Fax: 813-893-6111

Directions to “ TARIK KSAIBATI D.O.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.