Individual
DR. LAWRENCE CAROL TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 685-0895
Mailing address
540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 655-7669
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 42257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042474900
—
FL
Enumeration date
06/22/2005
Last updated
04/26/2022
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