Individual
LEAH TEEKELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10033 DR MARTIN LUTHER KING JR ST N, SUITE 300, ST PETERSBURG, FL 33716-3830
(727) 498-8898
(727) 800-6959
Mailing address
301 W PLATT ST, SUITE 24, TAMPA, FL 33606-2292
(727) 498-8898
(727) 800-6959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME94635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0625432
CIGNA
FL
01
—
2521753
UNITED
FL
01
—
273178198
HUMANA
—
05
—
274300100
—
FL
01
—
301311
AVMED
FL
01
—
30977
BCBS
FL
01
—
358811
WELLCARE
FL
01
—
4277780
AETNA
FL
01
—
U6871Y
MEDICARE
FL
Enumeration date
02/14/2006
Last updated
03/10/2014
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