Individual
DR. JESSICA ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5345
(352) 265-0761
(352) 265-1060
Mailing address
2511 DELANEY AVE, WILMINGTON, NC 28403-6003
(910) 667-9402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018-01597
NC
208600000X
Surgery Physician
56289
TN
208600000X
Surgery Physician
LL34658
SC
208600000X
Surgery Physician
Primary
ME146543
FL
2086S0102X
Surgical Critical Care Physician
ME146543
FL
Other
Enumeration date
06/06/2012
Last updated
08/10/2020
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