Taylor, Jacqueline Ann
Taylor, Jacqueline Ann is an individual health care provider with primary practice located at 5534 Cortez Rd W , Bradenton FL 34210-2817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Taylor, Jacqueline Ann can be contacted via phone (941) 757-2100.Contact Information
Primary practice address
5534 Cortez Rd W
Bradenton FL 34210-2817
Phone: (941) 757-2100
Fax: (941) 757-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME92510 | Florida |
Profile Details
| NPI number | 1164496584 |
|---|---|
| LBN Legal business name | Taylor, Jacqueline Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Dec 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164496584 | NPPES |
| Florida | MEDICAID | 275470700 |
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