Individual
DR. MINDY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 727, PORT ORANGE, FL 32128-8311
(386) 506-8701
(386) 265-0577
Mailing address
5535 S WILLIAMSON BLVD, SUITE 727, PORT ORANGE, FL 32128-8311
(386) 506-8701
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006116800
—
FL
01
—
P01085890
RAILROAD PTAN
FL
Enumeration date
05/25/2011
Last updated
10/21/2015
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