# TA TAYLOR ENTERPRISES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124040241
- **Authorized official:** DR. TERESE ANN TAYLOR M.D. (PRESIDENT)
- **Authorized official phone:** (239) 540-9918

## Contact information

- **Practice address:** 3046 DEL PRADO BLVD S, SUITE 1A, CAPE CORAL, FL 33904-7221
- **Practice address phone:** (239) 540-9918
- **Practice address fax:** (239) 540-9192
- **Mailing address:** 3046 DEL PRADO BLVD S, SUITE 1A, CAPE CORAL, FL 33904-7221
- **Mailing address phone:** (239) 540-9918
- **Mailing address fax:** (239) 540-9192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME92674 | FL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 272932600 | — | FL |