Individual
AUDREY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 ROBBINS AVE, ORLANDO, FL 32808-2108
(407) 929-4895
Mailing address
4215 ROBBINS AVE, ORLANDO, FL 32808-2108
(407) 929-4895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900787601
—
FL
Enumeration date
01/27/2016
Last updated
01/27/2016
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