Individual
ARTHUR CORTLAND TALIAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SAN BARTOLA DR, ST AUGUSTINE, FL 32086-5767
(904) 823-8823
(904) 808-8587
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0066602
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME66602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040010602
RR MEDICARE
FL
05
—
377005200
—
FL
Enumeration date
09/13/2006
Last updated
10/09/2023
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