Individual
KATIE E TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1787
Mailing address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9120472
FL
Other
Enumeration date
06/26/2025
Last updated
01/16/2026
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