Individual
TAYLOR RAE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5637 CENTRAL AVE, ST PETERSBURG, FL 33710-7941
(330) 749-9622
Mailing address
5637 CENTRAL AVE, ST PETERSBURG, FL 33710-7941
(330) 749-9622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11025657
FL
Other
Enumeration date
05/24/2022
Last updated
07/29/2024
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