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Individual

MICHAEL TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-8005
(407) 823-2408
Mailing address
1188 GANO AVE APT 215, ORANGE PARK, FL 32073-4618

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
FL

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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