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Organization
KEVIN T TAYLOR MD PA
Active
Organization
KEVIN T TAYLOR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAYLOR (PRESIDENT)
(352) 383-4600
Entity
Organization
Contact information
Practice address
3801 N HIGHWAY 19A STE 402, MOUNT DORA, FL 32757-2228
(352) 383-4600
(352) 383-9180
Mailing address
3801 N HIGHWAY 19A STE 402, MOUNT DORA, FL 32757-2228
(352) 383-4600
(352) 383-9180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME49634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037817800
—
FL
Enumeration date
10/28/2010
Last updated
10/28/2010
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