Individual
DR. LARRY D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Mailing address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 54101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07369
BCBS PROVIDER NUMBER
FL
Enumeration date
05/11/2006
Last updated
07/10/2007
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