Individual
TAYLOR CHARLES DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(630) 770-4727
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6288
(321) 843-2196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN9441278
FL
367H00000X
Anesthesiologist Assistant
Primary
APRN11039747
FL
Other
Enumeration date
02/18/2025
Last updated
05/27/2025
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