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Individual

TAYLOR KOLB TRAGESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS20807
FL
208M00000X
Hospitalist Physician
Primary
OS20807
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122241800
FL
01
A0TZ3
BCBS
FL
Enumeration date
04/01/2021
Last updated
04/07/2026
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