Organization
TA TAYLOR ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESE ANN TAYLOR M.D. (PRESIDENT)
(239) 540-9918
Entity
Organization
Contact information
Practice address
3046 DEL PRADO BLVD S, SUITE 1A, CAPE CORAL, FL 33904-7221
(239) 540-9918
(239) 540-9192
Mailing address
3046 DEL PRADO BLVD S, SUITE 1A, CAPE CORAL, FL 33904-7221
(239) 540-9918
(239) 540-9192
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME92674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272932600
—
FL
Enumeration date
07/25/2006
Last updated
08/02/2010
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