Taylor, Latara Vernell

Taylor, Latara Vernell is an sole proprietor health care provider with primary practice located at 9608 Redwood Blvd , Tampa FL 33635-5932. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Taylor, Latara Vernell can be contacted via phone (813) 298-9662.

Contact Information

Primary practice address
9608 Redwood Blvd Tampa FL 33635-5932
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 172V000000X Florida

Profile Details

NPI number 1346542990
LBN Legal business name Taylor, Latara Vernell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 14 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 1346542990 NPPES
Florida MEDICAID 674745196
Florida MEDICAID 674745198

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