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Individual
MITCHELL D TAYLOR
Active
Individual
MITCHELL D TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497748743
GROUP NPI NUMBER / LRHSI
FL
01
—
DA5786
RAILROAD MEDICARE GROUP NUMBER
FL
Enumeration date
05/05/2006
Last updated
04/22/2022
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