Individual
MARY ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 OPTIMIST DR, LAKELAND, FL 33801-6844
(863) 667-2212
(863) 667-2212
Mailing address
1804 OPTIMIST DR, LAKELAND, FL 33801-6844
(863) 667-2212
(863) 667-2212
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679329196
—
FL
Enumeration date
09/15/2010
Last updated
09/15/2010
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