Individual
DR. WAYNE R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 MEDICAL DR, HUDSON, FL 34667-6502
(727) 869-5551
(727) 868-6488
Mailing address
PO BOX 23643, TAMPA, FL 33623-3643
(727) 869-5551
(727) 868-6488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0049872
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME49872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010785400
—
FL
01
—
05605
BCBS FL
FL
Enumeration date
06/23/2005
Last updated
09/03/2020
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