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Individual

MRS. ELYSE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1892 LAFLEUR ST, NORTH PORT, FL 34288-7653
(941) 876-3796
Mailing address
1892 LAFLEUR ST, NORTH PORT, FL 34288-7653
(941) 876-3796

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9291874
FL
222Q00000X
Developmental Therapist

Other

Enumeration date
12/18/2013
Last updated
12/18/2013
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