Individual
DR. TAYLOR WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
1507 LEVANTE AVE, CORAL GABLES, FL 33146-2416
(305) 284-6727
Mailing address
9387 W 33RD LN, HIALEAH, FL 33018-2068
(405) 361-1131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3899
FL
Other
Enumeration date
10/13/2014
Last updated
08/24/2021
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