| Taylor Mobile Med | |
|
8647 Betty St Port Richey FL 34668-6044 | |
| (941) 777-5159 | |
| (833) 688-7731 |
| Full Name | Taylor Mobile Med |
|---|---|
| Speciality | General Practice |
| Location | 8647 Betty St, Port Richey, Florida |
| Authorized Official Name and Position | Lindy Allison Taylor (OWNER) |
| Authorized Official Contact | 9417775159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Mobile Med 8647 Betty St Port Richey FL 34668-6044 Ph: (941) 777-5159 | Taylor Mobile Med 8647 Betty St Port Richey FL 34668-6044 Ph: (941) 777-5159 |
| NPI Number | 1548770118 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 0547510489 |
|---|---|
| Medicare Enrollment ID | O20180913002294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548770118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME110686 (Florida) | Primary |
| Provider Name | Lindy a Taylor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962482117 PECOS PAC ID: 6406747336 Enrollment ID: I20120316000448 |
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