Individual
CHANTEL AMENA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
Mailing address
101 LAKE AVE APT 2113, ORLANDO, FL 32801-3047
(201) 665-0692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME141053
FL
Other
Enumeration date
03/24/2016
Last updated
07/25/2019
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