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Individual

CHELSEA ANNE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(855) 863-9595
(706) 868-8375
Mailing address
PO BOX 3725, AUGUSTA, GA 30914-3725
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108557
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A684F
BCBS
FL
Enumeration date
05/11/2015
Last updated
06/04/2021
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