| Ta Taylor Enterprises, Inc | |
|
3046 Del Prado Blvd S Suite 1a Cape Coral FL 33904-7221 | |
| (239) 540-9918 | |
| (239) 540-9192 |
| Full Name | Ta Taylor Enterprises, Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3046 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Terese Ann Taylor (PRESIDENT) |
| Authorized Official Contact | 2395409918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ta Taylor Enterprises, Inc 3046 Del Prado Blvd S Suite 1a Cape Coral FL 33904-7221 Ph: (239) 540-9918 | Ta Taylor Enterprises, Inc 3046 Del Prado Blvd S Suite 1a Cape Coral FL 33904-7221 Ph: (239) 540-9918 |
| NPI Number | 1124040241 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124040241 | NPI | - | NPPES |
| 272932600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME92674 (Florida) | Primary |
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