Individual
CASEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7303
Mailing address
3364 E CUMMINGS RD, SALT LAKE CITY, UT 84109-4107
(385) 227-4496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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