Blair, Taylor

Blair, Taylor is an individual health care provider with primary practice located at 205 Mlk St N , St Petersburg FL 33701-3109. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Blair, Taylor can be contacted via phone (727) 824-6986.

Contact Information

Primary practice address
205 Mlk St N St Petersburg FL 33701-3109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326337676
LBN Legal business name Blair, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Apr 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326337676 NPPES
Florida MEDICAID 001444400

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