Taylor, Mindy
Taylor, Mindy is an sole proprietor health care provider with primary practice located at 5535 S Williamson Blvd Suite 727, Port Orange FL 32128-8311. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Taylor, Mindy can be contacted via phone (386) 506-8701.Contact Information
Primary practice address
5535 S Williamson Blvd Suite 727
Port Orange FL 32128-8311
Phone: (386) 506-8701
Fax: (386) 265-0577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3493 | Florida |
Profile Details
| NPI number | 1376836262 |
|---|---|
| LBN Legal business name | Taylor, Mindy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2011 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1376836262 | NPPES |
| Florida | Other | P01085890 | RAILROAD PTAN |
| Florida | MEDICAID | 006116800 | RAILROAD PTAN |
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