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Individual

MICHAEL WAYNE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2202 STATE AVE, STE. 207, PANAMA CITY, FL 32405-7601
(850) 784-1856
(850) 784-1975
Mailing address
2202 STATE AVE, SUITE 207, PANAMA CITY, FL 32405-7601
(850) 784-1856
(850) 784-1975

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME87887
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272292500
FL
Enumeration date
12/07/2005
Last updated
02/04/2022
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