Individual
MR. CHARLES EDWARD TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2344 BURGOYNE DR, JACKSONVILLE, FL 32208-3092
(904) 601-7814
Mailing address
2344 BURGOYNE DR, JACKSONVILLE, FL 32208-3092
(904) 601-7814
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T460145850590
FL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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