Individual
TAYLOR RHODES LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-15794
ID
207X00000X
Orthopaedic Surgery Physician
ME143798
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
07/14/2021
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