Individual
DR. TAYLOR ELIZABETH BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18115 N US HIGHWAY 41 STE 800, LUTZ, FL 33549-6475
(813) 848-0341
Mailing address
31722 PASCO RD, SAN ANTONIO, FL 33576-8088
(813) 838-6521
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
22085
FL
225XP0200X
Pediatric Occupational Therapist
OT22085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740853613
—
FL
Enumeration date
07/20/2021
Last updated
06/11/2024
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