Individual
DR. JOHN TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BENMORE DR, STE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, STE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME18583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040014638
RR MEDICARE
—
01
—
040014639
RR MEDICARE
—
01
—
042886462
RR MEDICARE
—
05
—
051905700
—
FL
01
—
59071
BLUE CROSS
—
01
—
ME0018583
WORKER'S COMP
—
Enumeration date
05/31/2005
Last updated
09/22/2011
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