Individual
DR. MICHAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1259
(863) 284-1736
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
285382
MA
2086S0127X
Trauma Surgery Physician
Primary
OS17637
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/15/2015
Last updated
09/11/2021
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