Individual
MARIA CONCEPCION L TAYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 N MOBLEY ST, PLANT CITY, FL 33563-2904
(813) 341-7450
(813) 341-7461
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259971600
—
FL
Enumeration date
10/12/2005
Last updated
11/29/2011
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