Individual
MRS. COLLEEN ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 N RICHARD JACKSON BLVD STE 100, PANAMA CITY BEACH, FL 32407-2563
(850) 636-7076
Mailing address
140 N RICHARD JACKSON BLVD STE 100, PANAMA CITY BEACH, FL 32407-2563
(850) 636-7076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59401
KY
2084P0800X
Psychiatry Physician
R5385
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
10/28/2024
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