Individual
REAGAN HYDER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2415 N ORANGE AVE, 400, ORLANDO, FL 32804-5505
(407) 303-7399
Mailing address
2415 N ORANGE AVE STE 400, ORLANDO, FL 32804-5505
(865) 405-8443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104826
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9104826
FL
Other
Enumeration date
10/21/2008
Last updated
12/04/2020
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