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Organization
TAYLOR MADE MEDICAL CARE, LLC
Active
Organization
TAYLOR MADE MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE LEE TAYLOR MD (OWNER / REGISTERED AGENT)
(561) 202-4861
Entity
Organization
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4000
Mailing address
1217 NW 55TH ST UNIT 15, GAINESVILLE, FL 32605-6464
(561) 202-4861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME125557
FL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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