Individual
MRS. KIMBERLY RAQUEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 215-0095
Mailing address
4800 CLIVEDEN LOOP, SANFORD, FL 32773-8189
(407) 314-0079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
FL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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