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Individual
DR. TERESE A TAYLOR
Active
Individual
DR. TERESE A TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683G
STAYWELL
FL
01
—
01599
BC/BS OF FLORIDA
FL
05
—
272932600
—
FL
01
—
298186
AVMED
FL
Enumeration date
11/15/2005
Last updated
01/03/2015
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