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Individual

LAURA FRANCES TAIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 COLUMBIA ST STE 201, ORLANDO, FL 32806-1133
(407) 262-2220
(407) 834-5011
Mailing address
21 COLUMBIA ST STE 201, ORLANDO, FL 32806-1133
(407) 262-2220
(407) 834-5011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19045
FL
2084P0800X
Psychiatry Physician
Primary
ME126182
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105669100
FL
Enumeration date
06/05/2013
Last updated
08/17/2020
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