| Kevin T Taylor Md Pa | |
|
3801 N Highway 19a Ste 402 Mount Dora FL 32757-2228 | |
| (352) 383-4600 | |
| (352) 383-9180 |
| Full Name | Kevin T Taylor Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3801 N Highway 19a Ste 402, Mount Dora, Florida |
| Authorized Official Name and Position | Kevin Taylor (PRESIDENT) |
| Authorized Official Contact | 3523834600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin T Taylor Md Pa 3801 N Highway 19a Ste 402 Mount Dora FL 32757-2228 Ph: (352) 383-4600 | Kevin T Taylor Md Pa 3801 N Highway 19a Ste 402 Mount Dora FL 32757-2228 Ph: (352) 383-4600 |
| NPI Number | 1689974321 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 9436343308 |
|---|---|
| Medicare Enrollment ID | O20101104000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689974321 | NPI | - | NPPES |
| 037817800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME49634 (Florida) | Primary |
| Provider Name | Kevin Thomas Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134233968 PECOS PAC ID: 2668666546 Enrollment ID: I20101104000844 |
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